Key Highlights:
Patient Case Study: A newborn with Trisomy 21, bilious emesis, and delayed meconium passage sparks a thorough workup for Hirschsprung’s disease.
Diagnosis: The team breaks down how rectal irrigations and full-thickness biopsies confirm aganglionosis and rule out other causes.
Surgical Strategy: A discussion on when to perform a pull-through, mapping biopsies, and choosing between colostomy and ileostomy.
Long-Term Management: Addressing the role of Botox for internal sphincter relaxation and educating families on home care and irrigations.
This episode emphasizes the value of thoughtful, team-based decision-making and patient-tailored care in managing Hirschsprung disease.
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