title: [Enterocolitis associated with Hirschsprung's Disease. Experience in a pediatric teaching hospital].
abstract: Hirschsprung's associated enterocolitis (HAEC) is the most serious and potentially fatal complication of the disease, with a significant morbidity and mortality. The effect of HAEC varies remarkably among the publications since the lack of consensus and the absence of established diagnostic criteria. Patients diagnosed with Hirschsprung's disease (HD) were selected and treated between January 2009 and December 2012 in Fundación HOMI, finding 41 cases of HD, 6 of them with total aganglionosis. 76% of the patients had HAEC, 18 of them during the neonatal period and 6 of them after the final pull-through; 23% presented recurrent enterocolitis episodes. HAEC was the first clinical manifestation in 25 (61%) of the patients with HD. From HD patients limited to the rectum and sigmoid 67% had enterocolitis unlike TCA (total colonic agangliniosis) cases in which all presented HAEC episodes. In our setting, HAEC remains to be an unknown complication; this revision demonstrates its high incidence and mortality.
authors: Unidad de Cirugía Pediátrica. Facultad de Medicina. Universidad Nacional de Colombia. Sede Bogotá. Fundación HOMI Hospital de La Misericordia. Bogotá.
authors: S
authors: S
authors: Castañeda Espinosa
authors: Unidad de Cirugía Pediátrica. Facultad de Medicina. Universidad Nacional de Colombia. Sede Bogotá. Fundación HOMI Hospital de La Misericordia. Bogotá.
authors: A
authors: A
authors: García Giraldo
authors: Unidad de Cirugía Pediátrica. Facultad de Medicina. Universidad Nacional de Colombia. Sede Bogotá. Fundación HOMI Hospital de La Misericordia. Bogotá.
authors: P
authors: P
authors: Jaimes de la Hoz
authors: Departamento de Patología. Facultad de Medicina. Universidad Nacional de Colombia. Sede Bogotá. Fundación HOMI Hospital de La Misericordia. Bogotá.
authors: L
authors: L
authors: Jaramillo Barberi
authors: Unidad de Cirugía Pediátrica. Facultad de Medicina. Universidad Nacional de Colombia. Sede Bogotá. Fundación HOMI Hospital de La Misericordia. Bogotá.
authors: M A
authors: MA
authors: Perilla López
authors: Unidad de Cirugía Pediátrica. Facultad de Medicina. Universidad Nacional de Colombia. Sede Bogotá. Fundación HOMI Hospital de La Misericordia. Bogotá.
authors: M
authors: M
authors: Méndez Manchola
authors: Unidad de Cirugía Pediátrica. Facultad de Medicina. Universidad Nacional de Colombia. Sede Bogotá. Fundación HOMI Hospital de La Misericordia. Bogotá.
authors: J A
authors: JA
authors: Niño Salcedo
authors: Unidad de Cirugía Pediátrica. Facultad de Medicina. Universidad Nacional de Colombia. Sede Bogotá. Fundación HOMI Hospital de La Misericordia. Bogotá.
authors: F
authors: F
authors: Fierro Ávila
keywords: Enterocolitis; Hirschsprung’s disease; Hirschsprung’s disease reintervention