TITLE:
An Updated “Historical” Algorithm for Hirschsprung Pa-tients Who Present Late or Severely Ill
AUTHORS:
Samuel M. Alaish, Eric D. Strauch, Steven Stylianos
KEYWORDS:
Hirschsprung’s Disease; Algorithm; Transanal Soave
JOURNAL NAME:
International Journal of Clinical Medicine,
Vol.4 No.7B,
July
16,
2013
ABSTRACT: Some children with previously undiagnosed Hirschprung’s disease present severely ill at an advanced age with markedly dilated bowel and enterocolitis. In this manuscript, the authors propose the following treatment algorithm: 1) a diverting transverse loop colostomy, 2) a transanal Soave endorectal pull-through, and 3) colostomy closure. The authors report their experience with five patients.