Can short-segment Hirschsprung's disease be treated conservatively?

Conservative treatment is usually not recommended for short-segment Hirschsprung disease, which requires radical resection of the narrow segment of colon. Surgery is the main treatment for this disease, including Swenson surgery, Duhamel surgery, and Soave surgery. In order to restore normal intestinal function as soon as possible, surgery is usually performed as soon as possible after diagnosis.

1). The main cause of Hirschsprung's disease is the lack of colonic ganglion cells, which results in the inability of this segment of the colon to push intestinal contents normally. Although conservative treatments such as dietary adjustments and medications can only temporarily relieve symptoms, it is difficult to solve the fundamental problem of difficulty in defecation.

2) Swenson's surgery is a procedure that removes the non-ganglionic colon segment and connects the remaining healthy colon to the anal canal. This surgery is widely used for treatment and has a high success rate.

3) The Duhamel procedure involves resecting the colon and connecting the healthy part to the dorsal rectum, which results in less postoperative intestinal dysfunction.

4) The Soave procedure removes the mucosa without nerve segments and preserves the muscle layer, moving the colon downward to the anus with the internal sphincter preserved, reducing the risk of sphincter injury.

Although some conservative methods can be used to temporarily relieve the condition of short-segment Hirschsprung disease, surgery is the fundamental solution. It is recommended that parents of children with the disease consult professional doctors in a timely manner to choose the most appropriate treatment plan. Through appropriate surgical treatment, the vast majority of children can get a good prognosis and gradually return to normal life. Early intervention is important to avoid intestinal dilatation and potential infection risks caused by long-term defecation difficulties. Surgical correction is safe and effective, and early medical treatment can help children achieve a better quality of life.