Ostomy Surgery: An Alternative for Young Children with Hirschsprung Disease
When it comes to young children with Hirschsprung disease who are born prematurely or have multiple conditions, undergoing pull-through surgery may not be a viable option due to their fragile health. In such cases, ostomy surgery can be performed as an alternative, allowing these children to grow safely and comfortably. During an ostomy procedure, the surgeon removes the non-functioning part of the bowel and creates a small opening in the abdomen known as a stoma. By connecting the healthy intestine to the stoma, waste material, or stool, is redirected through the stoma and collected in a special bag located outside of the body.
Complications of Hirschsprung Disease
Hirschsprung disease, also known as congenital aganglionic megacolon, can lead to various complications if left untreated. The most common complication associated with this condition is enterocolitis. Enterocolitis is characterized by inflammation and infections in both the large and small intestines. In severe cases, it can result in symptoms such as explosive diarrhea, fever, and can even be life-threatening.
Another serious complication that can arise from Hirschsprung disease is bowel obstruction. When the condition is left untreated, the normal movement of stool through the intestines is hindered, leading to blockages. This obstruction can potentially result in sepsis, a severe infection that can spread throughout the body, and in some cases, even death.
Toxic megacolon is yet another grave complication that can occur as a result of Hirschsprung disease. This condition involves the swelling of the colon, which prevents the passage of gas and stool. As a result, the intestine becomes greatly distended, increasing the risk of bowel rupture.