5 doctors weighed in:

Treatment for hirschsprung disease?

5 doctors weighed in
Dr. Troy Reyna
Surgery - Pediatric
2 doctors agree

In brief: Surgery

First hirschsprung's has to be confirmed by full thickness biopsy of the rectum. The pathology should be read by a pediatric pathologist accustomed to looking for ganglion cells.
If positive then a primary pullthrough or leveling colostomy can be performed depending on the presence of colitis and the experience of the pediatric surgeon.

In brief: Surgery

First hirschsprung's has to be confirmed by full thickness biopsy of the rectum. The pathology should be read by a pediatric pathologist accustomed to looking for ganglion cells.
If positive then a primary pullthrough or leveling colostomy can be performed depending on the presence of colitis and the experience of the pediatric surgeon.
Dr. Troy Reyna
Dr. Troy Reyna
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1 comment
Dr. Charles Vinocur
THere are several ways to diagnose HD, including a suction rectal biopsy, full thickness biopsy, manometry
Dr. Gerald Mandell
Nuclear Medicine

In brief: Surgery

Children with surgery to remove diseased part of large intestine.
Surgery within first days or month of life after dx. Treatment may involve one or two surgeries.Surgical options include leveling colostomy, which is colostomy at the level of normal bowel;staged procedure with placement of leveled colostomy followed by pull-through procedure or a single-stage pull-through procedure without ostomy

In brief: Surgery

Children with surgery to remove diseased part of large intestine.
Surgery within first days or month of life after dx. Treatment may involve one or two surgeries.Surgical options include leveling colostomy, which is colostomy at the level of normal bowel;staged procedure with placement of leveled colostomy followed by pull-through procedure or a single-stage pull-through procedure without ostomy
Dr. Gerald Mandell
Dr. Gerald Mandell
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