A disease of the colon characterized by functional obstruction, fecal accumulation, and colonic dilation:
74–80% of cases involve rectosigmoid colon, 12–22% involve long segment of th...
Onset early in infancy; newborn fails to pass meconium in 24 to 48 hours after birth (60–90% of infants with Hirschsprung disease).
Obstipation
May have diarrhea (usually intermittent)
C...
Treatment may be symptomatic or definitive.
Correct fluid and electrolyte imbalances.
Abdominal decompression with a nasogastric tube
Removal of fecal accumulation: retention en...
Postsurgical monitoring for fluid/electrolyte balance, protein-calorie nutrition, and growth
Long-term monitoring for continence and constipation
De La Torre L, Langer JC. Transanal endorectal pull-through for Hirschsprung disease: technique, controversies, pearls, pitfalls, and an organized approach to the management of post...
204739008 Hirschsprung's disease (disorder)
24291004 Congenital dilatat...
All infants with primary constipation must be evaluated for Hirschsprung disease.
Early diagnosis helps prevent toxic enterocolitis.
An unprepped barium enema followed by a suction recta...
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