Long per-rectal endoscopic myotomy for a case of Hirchsprung’s disease

Post written by Akshay Kulkarni, DM, from Midas Multi-Specialty Hospital, Nagpur, India. This video case shows the procedure of per-rectal endoscopic myotomy (PREM) for a case of Hirchsprung’s disease. It was a particularly difficult case requiring a long (25 cm) myotomy, and a delayed perforation complicated recovery. However, it was successfully managed endoscopically, and the patient …

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A novel endoscopic technique to obtain rectal biopsy specimens in children with suspected Hirschsprung’s disease

Post written by Zaheer Nabi, MD, DNB, from the Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India. A 3-year-old girl presented with a history of constipation since early infancy. Anorectal manometry was performed, and the absence of recto-anal inhibitory reflex raised the suspicion of Hirschsprung’s disease (HD). To confirm the diagnosis of HD, rectal …

Continue reading A novel endoscopic technique to obtain rectal biopsy specimens in children with suspected Hirschsprung’s disease