Hirschsprung Disease in Children

Nuss Procedure – Pediatric Hernia Specialist Los Angeles

Definition of Hirschsprung Disease

Hirschsprung Disease, a condition often encountered in the field of pediatric surgery, is a disorder affecting the colon of infants and children, leading to severe constipation or intestinal obstruction. At Pacific Coast Pediatric Surgery, our approach towards managing this condition is rooted in a deep understanding of its intricacies and the latest advancements in pediatric healthcare. This condition is characterized by the absence of nerve cells in the muscles of part or all of the large intestine, which results in difficulty passing stool.

Symptoms in Children

Identifying the Symptoms Early: The primary symptoms of Hirschsprung Disease in children include a swollen belly, constipation, gas, fatigue, and in some cases, diarrhea. The severity of symptoms can vary, but they typically become evident shortly after birth. Recognizing these symptoms early is crucial for timely intervention and care.

Causes of Hirschsprung Disease

Hirschsprung Disease is congenital, meaning it is present at birth. It occurs due to the improper development of nerve cells in the colon during fetal growth. While the exact cause of this abnormal development is not entirely clear, genetic factors are believed to play a significant role.

Diagnosis and Screening

Comprehensive Diagnostic Approach: At our practice, diagnosing Hirschsprung Disease involves a combination of physical examinations, imaging tests such as X-rays or anorectal manometry, and biopsy of the colon tissue. Our goal is to ensure an accurate diagnosis through a meticulous and compassionate screening process.

Treatment Options

The treatment for Hirschsprung Disease typically involves surgery to bypass or remove the diseased part of the colon. At Pacific Coast Pediatric Surgery, we utilize state-of-the-art surgical techniques tailored to the unique needs of pediatric patients. Our surgical options include:

• Pull-through procedure, where the affected portion of the colon is removed, and the healthy part is connected to the anus.
• Ostomy surgery in severe cases, which involves creating an opening in the abdomen for waste to leave the body.

Our treatment plans are designed to provide the best outcomes for our young patients, ensuring they can lead healthy, active lives post-surgery.

Complications

While surgery for Hirschsprung Disease is generally successful, potential complications can include infection, bowel obstruction, and issues with stool control. Our team closely monitors each patient to manage and mitigate any risks associated with treatment.

Long-Term Outlook

The long-term outlook for children with Hirschsprung Disease who receive proper treatment is positive. Most lead normal, active lives following surgery. Our dedicated follow-up care ensures ongoing support and guidance for our patients and their families.

Support and Resources

At Pacific Coast Pediatric Surgery, we understand that a diagnosis of Hirschsprung Disease can be overwhelming for families. That’s why we provide comprehensive support and resources to help navigate the challenges ahead. From educational materials to referrals for support groups, our commitment extends beyond surgical care. We believe in empowering families with knowledge and support, ensuring they never feel alone on their journey.

Our team, led by Dr. Philip K. Frykman, is dedicated to providing the highest level of compassionate care for children with Hirschsprung Disease. With our expertise and a deeply personal approach to care, we strive to achieve the best outcomes for our patients, treating them with the same dedication and empathy as we would our own children. If you have concerns or questions about Hirschsprung Disease, our office is here to provide the guidance and care your child deserves.

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