The Hirschsprungs patient who is soiling after what was considered a "successful" pull-through

Semin Pediatr Surg. 2012 Nov;21(4):344-53. doi: 10.1053/j.sempedsurg.2012.07.009.


After surgery for Hirschsprungs disease, most children thrive, have few if any episodes of abdominal distention and enterocolitis, and are fecally continent. However, there exists a small group of patients who do not do well. Either they suffer from persistent distension and enterocolitis or they experience soiling after their pull-through procedure. These patients can be systematically evaluated and successfully treated with a combination of bowel management, dietary changes, and laxatives, and, in certain circumstances, a reoperation.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Anal Canal / physiopathology
  • Anal Canal / surgery
  • Anastomosis, Surgical
  • Colectomy
  • Colon / surgery
  • Combined Modality Therapy
  • Decision Support Techniques
  • Fecal Incontinence / diagnosis
  • Fecal Incontinence / etiology
  • Fecal Incontinence / physiopathology
  • Fecal Incontinence / therapy*
  • Hirschsprung Disease / surgery*
  • Humans
  • Postoperative Complications / diagnosis
  • Postoperative Complications / physiopathology
  • Postoperative Complications / therapy*
  • Rectum / surgery
  • Treatment Outcome