Stricture formation at the coloanal anastomosis is a recognised complication following pull-through surgery in patients with Hirschsprung's disease. This scenario requires a specific, structured clinical response.
The patient has Hirschsprung's disease and has developed an anastomotic stricture at the coloanal anastomosis following pull-through surgery. Careful assessment of the stricture and a systematic approach are indicated.
Management centres on targeted procedural intervention under anaesthesia — the full decision framework, sequencing, and specific technique thresholds are detailed in the complete protocol.
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.
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