INDICATION OF THE COLOSTOMY FOR THE PATIENTS WITH HIRSCHSPRUNG'S DISEASE

Abstract

Recently it has been recommended that radical operation of Hirschsprung's disease shall be performed without colostomy.
The indication of colostomy in the patients with Hirschsprung's disease was evaluated retrospectively. From our study colostomy should be indicated in the following circumstances: 1. Aganglionosis is extended to above the descending colon. 2. The patient in neonatal period is poor condition. 3. Bowel habit is not controlled by conservative therapy.
The conservative therapy before the radical operation includes enema or lavage of the colon using warmed saline and should be carried out carefully.