Treatment of Hirschsprung’s Disease with Anastomotic Stricture of the Coloanal Anastomosis Following Pull-Through Surgery
Anastomotic stricture at the coloanal anastomosis is a recognised post-operative complication in patients who have undergone pull-through surgery for Hirschsprung’s disease. When this complication arises, a targeted management approach is required.
This protocol addresses patients with Hirschsprung’s disease who have developed an anastomotic stricture of the coloanal anastomosis following pull-through surgery — a specific post-surgical scenario that calls for a structured, stepwise intervention plan.
Treatment approach
Initial management centres on a course of gentle dilatation of the stricture — the precise technique, cadence, and the clinical threshold for escalating to intervention under anaesthesia are detailed in the full protocol.
References
DOI: 10.1186/s13023-020-01362-3
- For an anastomotic stricture, a course of gentle once or twice daily anal dilatations may be attempted, however maintaining a low threshold for examination and dilatation under anesthesia.