Hirschsprung's disease: revisited.
The diagnosis and therapy of Hirschsprung's disease has changed in recent times and a firm diagnosis of the entity can be made pre-operatively by immunohisto-chemistry. There has been a recent trend of switching over from the conventional staged surgical procedures to primary pull-through procedures. In this article the newer concepts referring to its aetiology, pathogenesis, and the current technical advancements like stapler anastomosis, laparoscopic assisted pull-through and single one stage operation without colostomy are discussed along with a brief mention of current concepts in intestinal neuronal dysplasia, enterocolitis and total colonic aganglionosis.
Harjai
M M
MM
Department of Surgery and Paediatric Surgery, Armed Forces Medical College, Pune - 411 040, India.
D003108:Colonic Diseases / Q000473:pathology; D004760:Enterocolitis / Q000473:pathology; D006627:Hirschsprung Disease / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D006801:Humans