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
D
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A Preoperative management may include enemas and a low-fiber, high-calorie,
high-protein diet, until the child is physically ready for surgery.
B Preoperative management may include enemas and low-fiber, high-calorie,
high-protein diet, until the child is physically ready for surgery.
C The colostomy that is created in Hirschsprung disease is usually temporary.
D Most children with Hirschsprung disease require surgical rather than medical
management. Surgery is done to remove the aganglionic portion of the bowel,
relieve obstruction, and restore normal bowel motility and function of the
internal anal sphincter.
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