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Hirschsprung’s Disease and the Allied Disorders pp 105–110Cite as

Medical Treatment Including Kampo Medicine

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Abstract

The surgeons should perform careful assessment and diagnostic plan and are able to improve the quality of life of the patients with HD who are not doing well after operations. In assessing the soiling postoperative patient with HD, it is important to discuss whether the colon of the patient is spastic or dilated. Examination under anesthesia to determine the integrity of the anal canal and status of the sphincters is important and adjusts the patient’s expectations concerning long-term functional result and helps determine what kinds of medical treatment including enema are administrated. In case of anal canal and sphincters intact with hypomotility (atonic constipation), it is necessary to administrate laxatives including prokinetics and Kampo medicine (Juncho-to, Daiokanzo-to, Choi-joki-to containing powdered Rhubarb) for constipation in addition to probiotics. In another case of anal canal and sphincters intact with hypermotility (spastic frequent loose stool), it is suitable to administrate calcium polycarbophil and Kampo medicine Shokentyu-to including Paeoniae radix, in addition to probiotics. Successful management depends on the appropriate evaluation and medical treatment and leads to clean and dry around the neo-anorectal lesion.

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Authors and Affiliations

  1. Department of Pediatric Surgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan

    Minoru Yagi & Suguru Fukahori

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  1. Minoru Yagi
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  2. Suguru Fukahori
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Correspondence to Minoru Yagi .

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Editors and Affiliations

  1. Department of Pediatric Surgery, Kyushu University, Fukuoka, Fukuoka, Japan

    Tomoaki Taguchi

  2. Department of Pediatric Surgery, St. Luke’s International Hospital, Chuo-Ku, Tokyo, Japan

    Hiroshi Matsufuji

  3. Department of Pediatric Surgery, Kagoshima University, Kagoshima, Kagoshima, Japan

    Satoshi Ieiri

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Yagi, M., Fukahori, S. (2019). Medical Treatment Including Kampo Medicine. In: Taguchi, T., Matsufuji, H., Ieiri, S. (eds) Hirschsprung’s Disease and the Allied Disorders. Springer, Singapore. https://doi.org/10.1007/978-981-13-3606-5_16

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  • DOI: https://doi.org/10.1007/978-981-13-3606-5_16

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-3605-8

  • Online ISBN: 978-981-13-3606-5

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