Therapeutic management of most children with Hirschsprung disease is primarily
A) Daily enemas
B) Low-fiber diet
C) Permanent colostomy
D) Surgical removal of the affected section of the bowel

Question

Quizplus · Accepted Answer

The therapeutic management for Hirschsprung disease is surgical removal of the affected section of the bowel, also known as a pull-through procedure. This eliminates the portion of the intestine that lacks nerve cells and allows for normal bowel function. Daily enemas may be necessary in the short term to manage symptoms before surgery, but they are not a long-term solution. A low-fiber diet may also be recommended in the short-term to reduce the risk of bowel obstruction before surgery, but it is not a permanent management strategy. Permanent colostomy is typically only considered in rare cases where the child has other medical issues that make a pull-through procedure too risky.

Therapeutic Management of Most Children with Hirschsprung Disease Is Primarily