Ayurveda

How Hirschsprung's Disease is Treated

Hirschsprung’s

disease is a condition where there is congenital absence of autonomic ganglia in the smooth muscle wall of the colon. This affects bowel movements in the particular segment of the colon, leading to accumulation of feces and obstruction in passage of stool. Swollen abdomen, chronic constipation and stomach pain are some of the symptoms of the disease. In this section you can know how this disease is treated.

Let us begin with a brief note on diagnosis of the disease. Hirschsprung’s disease is diagnosed with help a few tests that include x-ray of abdomen, manometry and colon biopsy.

Hirschsprung’s Disease Treatment

Soon after confirming the disease, doctors start treating it through a small surgery. The surgery is called a

pull-through procedure.

During this procedure, the surgeon removes the segment of the large intestine that lacks nerve cells and connects it to the healthy segment of the anus. This reestablishes a normal bowel that can control defecation at the anus.

Ostomy surgery:

In the above procedure stool is defecated through the anus. In severe cases, where the child is very sick from Hirschsprung’s disease, a better procedure is employed. It is called ostomy surgery.

In ostomy surgery, the surgeon removes the diseased segment of the large intestine. He does this by first creating a stoma in the abdomen by rolling the intestine’s end back on itself, then stitching it to the abdominal wall. An ostomy pouch, that is attached to the stoma and kept outside the body, collects the stool. This pouch is emptied several times a day.

Ileostomy

and

colostomy

are the surgeries done in the extreme cases of the disease. In ileostomy, the surgeon removes the entire large intestine and connects the small intestine to the stoma. In colostomy, the surgeon leaves a part of the large intestine and connects it to the stoma.

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