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Management of Hirschsprung's disease — an alternate approach

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Abstract

Management of neonatal Hirschsprung's disease based on diagnosis by histologic techniques and frozen acceptable method. However, the non-availability of histologic and histochemical techniques often necessitates alternate approaches. In 376 infants below the age of 2 months who were admitted with the presumptive diagnosis of Hirschsprung's disease, a barium enema was the key investigation. Histologic confirmation could be obtained after a colostomy was established. Manometry allowed the detection of any diagnostic errors. The overall error rate was approximately 4%. An alternate algorithm is suggested for the management of Hirschsprung's Disease, particularly in less well-developed centers.

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Authors and Affiliations

  1. Department of Pediatric Surgery, Institute of Maternal and Child Health, Medical College, Calicut, 673008, Kerala, India

    K. K. Varma, A. A. Kukkady, T. P. Joseph & M. I. Sreekumaran

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  1. K. K. Varma
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  2. A. A. Kukkady
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  3. T. P. Joseph
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  4. M. I. Sreekumaran
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Correspondence to: K. K. Varma

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Varma, K.K., Kukkady, A.A., Joseph, T.P. et al. Management of Hirschsprung's disease — an alternate approach. Pediatr Surg Int 9, 64–65 (1994). https://doi.org/10.1007/BF00176113

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  • DOI: https://doi.org/10.1007/BF00176113

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