HIRSCHSPRUNG’S DISEASE

DIAGNOSIS AND MANAGEMENT: EXPERIENCE AT IBN-E-SIENA AND NISHTAR HOSPITAL, MULTAN.

Abstract

Objective: To determine the frequency of Hirschsprung’s Disease as a cause of
neonatal intestinal obstruction, to compare the results of treatment with others and to suggest
means and ways to improve the deficiencies in our circumstances. Place and duration of study:
Nishtar hospital and Ibn-e-Siena Hospital, Multan from January, 2008 to June, 2012.
Methodology: A total number of 115 patients from neonatal age to more than 5 years were
diagnosed and treated for Hirschsprung’s Disease. Results: Hirschsprung’s Disease was a
cause of neonatal obstruction in 26 (22.6%) patients. Hirschsprung’s Disease was a cause of
recurrent diarrhea in 37 (32.17%) patients. 76 (66.08%) patients presented with chronic
constipation. 27 patients underwent for pull-through operation. Conclusions: The overall
complications rate and stooling pattern after Soave’s procedure are not significantly different
from others.