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. 1988 Mar;207(3):240–244. doi: 10.1097/00000658-198803000-00003

Hirschsprung's disease. Identification of risk factors for enterocolitis.

D H Teitelbaum 1, S J Qualman 1, D A Caniano 1
PMCID: PMC1493395  PMID: 2964227

Abstract

From 1975 to 1985, 80 infants and children were treated at a major pediatric hospital for Hirschsprung's disease, 19 (24%) of whom developed enterocolitis. In 9 neonates (18%) and 4 infants (29%) enterocolitis was present at diagnosis of Hirschsprung's disease, while 4 children acquired enterocolitis following a pull-through procedure. Significant risk factors for development of Hirschsprung's-associated enterocolitis (HAEC) were delay in diagnosis beyond 1 week of age and the presence of trisomy 21. HAEC did not occur more frequently in patients with long-segment aganglionosis, nor did an initial episode of HAEC confer a higher risk of recurrent enterocolitis. HAEC following a pull-through procedure was correlated with an anorectal stricture in three of four cases. Although neonates with HAEC had a low mortality rate (5%), their morbidity rate was 30% and their hospitalization was twice as long as neonates without enterocolitis.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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