An Updated “Historical” Algorithm for Hirschsprung Pa-tients Who Present Late or Severely Ill

Abstract

<span style="font-family:Verdana;">Some children with previously undiagnosed Hirschprung’s disease present severely ill at an advanced age with markedly dilated bowel and enterocolitis. In this manuscript, the authors propose the following treatment algorithm: 1) a diverting transverse loop colostomy, 2) a transanal Soave endorectal pull-through, and 3) colostomy closure. The authors report their experience with five patients.</span