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Hirschsprung's Disease

Diagnosis, symptoms, and treatment methods.

General Information About Hirschsprung's Disease

Hirschsprung's disease is the inability of a segment of the large intestine to contract and allow stool to pass, due to the congenital absence of nerve cells (ganglions) in the final part of the colon. It presents in babies with the inability to pass the first stool (meconium) after birth and a swollen abdomen. In our Pediatric Surgery unit, the diseased section of the intestine lacking nerve cells is surgically removed, and the healthy intestine is connected to the anus.

Disease Details and Frequently Asked Questions

You can access detailed information about the disease under the headings below.
What is Hirschsprung's Disease?

It is a condition where the nerve network responsible for the pushing and contracting movements of the intestine fails to reach the final part of the large intestine during fetal development, resulting in that section of the bowel remaining completely rigid and paralyzed.

What Causes It?

It is an entirely genetic and embryological developmental defect. It is caused by mutations in certain genes, such as the RET gene. Those with a family history of this disease are at a higher risk.

What are the Symptoms?

The most typical signs are a newborn baby's inability to pass its first stool (meconium) within the first 48 hours, massive abdominal swelling, vomiting bile (green), and refusing to feed.

What is Toxic Megacolon?

If the blockage cannot be cleared, the stool accumulating above the paralyzed section excessively dilates the intestine and disrupts its blood supply. This situation can lead to the bowel perforating and fatal blood poisoning (sepsis).

How is it Diagnosed?

A contrast-enhanced barium enema X-ray is taken. For a definitive diagnosis, a small tissue sample is taken from the rectum (Rectal Biopsy) and examined under a pathology microscope; if the absence of nerve cells is detected, the diagnosis is confirmed.

How is it Treated?

There is no medication for the disease; the only treatment is surgery. A pediatric surgeon cuts out and completely removes the non-functioning (nerve-lacking) part of the bowel and stitches the healthy upper part directly to the anus.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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