Controversies in Hirschsprung surgery  

作　　者：Thomas O Xu Marc A Levitt Christina Feng 

机构地区：[1]Division of Colorectal and Pelvic Reconstruction,Children's National Hospital,Washington,District of Columbia,USA

出　　处：《World Journal of Pediatric Surgery》2024年第3期161-172,共12页世界小儿外科杂志（英文）

摘　　要：The treatment of Hirschsprung disease(HSCR)is surgical resection of aganglionic bowel and subsequent pull-through of ganglionated bowel.Despite many advances since the initial description of the disease and its surgical management more than half a century ago,there remain considerable controversies regarding the history of the surgical technique,the optimal timing of the primary and multistage pull-through,the best treatment for patients with a delayed diagnosis of HSCR,and the management of post pull-through complications such as soiling due to sphincter incompetence,the presence of a transition zone,and the prevention of enterocolitis.The following review will explore each of these controversies.

关 键 词：PREVENTION DIAGNOSIS TREATMENT 

分 类 号：R726.5[医药卫生—儿科]