Abstract: Introduction: Hirschsprung disease (HD) or congenital megacolon is an ancient disease first described in 1887 by Hindu surgeons. It is characterized by an absence of ganglion cells in the myenteric and submucosal plexus in the distal colon, making the condition a considerable surgical cause of early childhood constipation, soiling, and enterocolitis (EC).
Surgical correction represents the definitive treatment. Swenson, Duhamel, and Soave, in addition to State and Rehbein, are well-known surgical procedures described with various modifications.
Methods: In our study, 80 cases of Hirschsprung disease have been identified, investigated, and operated on in different hospitals in Najaf city over 7 years.
Aim: This study aims to measure the incidence and severity of EC in HD patients treated with the trans-anal Swenson pull-through operation (TSPT).
Results: The follow-up period ranged from 2 to 5 years. Questionnaires and medical record reviews have been used to assess the incidence and severity of EC among patients with the Swenson operation.
Conclusion: We concluded that the incidence and severity of the EC were less in the cohort operated on with TSPT than among the patients who underwent a two-stage Swenson procedure.
Keywords: Hirschsprung disease, total aganglionic disease, Swenson operation, enterocolitis.
Title: Incidence of enterocolitis in post-trans-anal Swenson pull-through in children with Hirschsprung disease
Author: Hayder Nadhim Obaid Algabri, Haidar Mohammad Muhssein, Zinah Khudair Abbas
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
Vol. 13, Issue 1, April 2025 - September 2025
Page No: 299-308
Research Publish Journals
Website: www.researchpublish.com
Published Date: 22-June-2025
