Colorectal
Hirschsprung Disease in Brief
The surgical management for Hirschsprung disease has changed dramatically over the past few decades. So here, we discuss the basics of workup, diagnosis, and surgical treatment for aganglionic megacolon AKA Hirschsprung disease with Dr. Aaron Garrison and Dr. Jason Frischer from Cincinnati Children's Hospital Medical Center.
Hosted by Dr. Rod Gerardo, Dr. Ellen Encisco, and Dr. Todd Ponsky
CCHMC HAEC resource: https://staycurrentapp.app.link/62V0jx2Dxkb
Sections
- Introduction (00:00)
- Presentation of Hirschsprung disease (01:03)
- Incidence of Hirschsprung disease (01:30)
- Risk factors for developing Hirschsprung disease (01:43)
- Work up for Hirschsprung disease (02:18)
- Contrast enema (02:42)
- Rectal biopsy (03:00)
- Obtaining the rectal biopsy (04:30)
- Anorectal manometry (05:20)
- Patient/family education (06:07)
- Initial management of Hirschsprung disease in the NICU (06:30)
- Treating older patients with Hirschsprung disease (07:03)
- 07:29 The Goals of surgical management (07:29)
- Options for surgical approach (07:52)
- Swenson, Soave, and Duhamel procedures (08:16)
- Post operative complications (08:48)
- Hirschsprung disease associated enterocolitis (09:14)
- Long term prognosis (10:00)
- Outro (10:26)
