سلس البراز بعد جراحة السحب في مرض هيرشسبرونغ — قناة شرجية سليمة مع فرط حركة القولون

References

DOI: 10.1186/s13023-020-01362-3

• Patients with an intact anal canal and appropriate pull-through but fecal incontinence should receive medical management as the first-line treatment
• For patients without colonic dilatation and a tendency to loose stools (hypermotility), a constipating diet +/− loperamide +/− bulking agents (pectin, psyllium)
• 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