Hirschsprung disease

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Hirschsprung Disease: Presentation, Workup, Diagnosis, & Perioperative Considerations see video link in second post

[size=20px]Regarding colostomy in the management of Hirschsprung’s disease, which of the following is true? a- Colostomy may be indicated as a form of decompression in severe enterocolitis unresponsive to irrigations. b- Diverting colostomy is best sited in the distal sigmoid colon. c- Permanent colostomy is a form of treatment for total colonic aganglionosis. d- Colostomy should be performed prior to treatments with colonic irrigations. e- Colostomy, if performed, should always be a loop stoma.[/size]

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any one want link of HQ video please contribute with one thread to forums, and I will sent it to you by email Edit: available without restrictions in next post

See video in second post

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[center]any one want link of HQ video please contribute with one thread to forums, and I will sent it to you by email Edit: available without restrictions [/center]

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[size=20px]At birth, an infant with Hirschsprung Disease underwent ileostomy at the transition zone located 30 cm proximal to the ileocecal valve. Now 2 years of age, he is gaining weight with a gradually thickening ileostomy effluent. The next step in management of this infant should be: A Continued observation B Ileoanal pullthrough C Ileoanal pullthrough and proximal diverting stoma D Duhamel ileoproctostomy with preservation of a 5-10 cm rectal “spur” E Martin ileocolostomy (descending colon)[/size]

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