علاج داء هيرشسبرونغ مع سلس البراز بعد عملية السحب

References

• Patients with an intact anal canal and appropriate pull-through but fecal incontinence should receive medical management as the first-line treatment.
• For patients with a dilated colon and constipation (hypomotility), oral laxatives +/− a short course of enemas to ensure regular and complete colonic emptying.
• Proceed to bowel management if there is failure to respond, despite adequate dosing and compliance.
• Options include regular retrograde enemas or antegrade colonic irrigation via an antegrade continence enema appendicostomy (ACE) or cecostomy +/− dietary modifications +/− laxatives.