Therapeutic management of most children with Hirschsprung's disease is primarily:
a. Daily enemas.
b. Low-fiber diet.
c. Permanent colostomy.
d. Surgical removal of affected section of bowel.
ANS: D
Most children with Hirschsprung's 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. Preoperative management may include enemas and low-fiber, high-calorie, high-protein diet until the child is physically ready for surgery. The colostomy that is created in Hirschsprung's disease is usually temporary.
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