{"product_id":"2940154064757","title":"Hirschsprung's Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions","description":"\u003cp\u003eHirschsprung’s disease is a congenital disorder causing blockage of the large intestine.\u003cbr\u003eIt happens due to poor muscle movement in the bowel.\u003cbr\u003eThe underlying pathology is the absence of parasympathetic ganglion cells in the myenteric and sub-mucosal plexus of the rectum, and sometimes also in the colon.\u003cbr\u003eNormally 24h) is very important because:\u003cbr\u003e50% of all Hirschsprung’s patients do not pass meconium within 36h\u003cbr\u003e50% of all children with delayed passage of meconium have Hirschsprung’s disease\u003cbr\u003eRectal examination often reveals the narrowing of the rectosigmoid colon.\u003cbr\u003eWhen the finger is withdrawn, there may be evacuation of a watery stool.\u003cbr\u003eSymptoms in older children:\u003cbr\u003e1. Constipation that slowly becomes worse\u003cbr\u003e2. Fecal impaction\u003cbr\u003e3. Malnutrition\u003cbr\u003e4. Slow growth\u003cbr\u003e5. Swollen belly\u003cbr\u003eMilder cases may not be diagnosed until the baby is older.\u003cbr\u003eDuring a physical exam, the doctor may be able to feel loops of bowel in the swollen abdomen.\u003cbr\u003eA rectal exam may indicate tight muscle tone in the rectal muscles.\u003cbr\u003eTests used to help diagnose Hirschsprung's disease may be:\u003cbr\u003e1. Abdominal x-ray\u003cbr\u003e2. Anal manometry (a balloon is inflated in the rectum to measure pressure in the area)\u003cbr\u003e3. Barium enema\u003cbr\u003e4. Rectal biopsy\u003cbr\u003eTreatment\u003cbr\u003eA procedure called serial rectal irrigation helps alleviate pressure in (decompress) the bowel.\u003cbr\u003eThe abnormal section of colon must be removed using surgery.\u003cbr\u003eMost often, the rectum and abnormal part of the colon are removed.\u003cbr\u003eThe healthy part of the colon is then pulled down and attached to the anus.\u003cbr\u003eSometimes this can be done in 1 operation.\u003cbr\u003eIt is often done in 2 parts.\u003cbr\u003eA colostomy is performed first.\u003cbr\u003eThe other part of the procedure is done later in the child's first year of life.\u003cbr\u003eThe most often performed repairs are the Swenson, Duhamel, and Soave procedures.\u003cbr\u003eSeveral other creative methods have been done, such as:\u003cbr\u003e1. A modified transanal method with trans-abdominal open or laparoscopic assistance,\u003cbr\u003e2. Single-incision laparoscopic endorectal pull-through (SILEP), and\u003cbr\u003e3. Natural orifice trans-luminal endoscopic surgery (NOTES)\u003cbr\u003eRegeneration cell treatments are under studies to return function in aganglionic intestine.\u003cbr\u003eTABLE OF CONTENT\u003cbr\u003eIntroduction\u003cbr\u003eChapter 1 Hirschsprung’s Disease\u003cbr\u003eChapter 2 Causes\u003cbr\u003eChapter 3 Symptoms\u003cbr\u003eChapter 4 Diagnosis\u003cbr\u003eChapter 5 Treatment\u003cbr\u003eChapter 6 Prognosis\u003cbr\u003eChapter 7 Intussusception\u003cbr\u003eChapter 8 Volvulus\u003cbr\u003eEpilogue\u003c\/p\u003e","brand":"Kenneth Kee","offers":[{"title":"Default Title","offer_id":47111697563888,"sku":"2940154064757","price":2.99,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0737\/7593\/9824\/files\/2940154064757_p0.jpg?v=1764063297","url":"https:\/\/shop-qa.barnesandnoble.com\/products\/2940154064757","provider":"Barnes \u0026 Noble (DEV)","version":"1.0","type":"link"}