# Hirschsprung.Php **Source:** https://drsujitchowdhary.com/service/hirschsprung.php **Language:** French --- # Pediatric Hirschsprung Disease Treatment in Delhi Accueil / Services / Hirschsprung ![Normal Colon and Rectum vs Hirschsprung's Disease Diagram](../assets/images/services/hirschsprung.jpg) ### Understanding Hirschsprung Disease Maladie de Hirschsprung (congenital aganglionic megacolon) is a birth defect where nerve cells (ganglion cells) fail to form in the muscular layer of the distal intestine. Without these nerves, the affected intestinal segment cannot relax, resulting in a functional intestinal obstruction. When seeking specialized **Hirschsprung Disease Treatment in Delhi**, parents require an experienced pediatric surgical team capable of performing delicate transanal or laparoscopic pull-through procedures. With over 31+ years of experience in pediatric GI surgery, Dr Sujit Chowdhary offers comprehensive neonatal diagnostic evaluation and reconstructive surgical care. ### Causes of Hirschsprung Disease Hirschsprung's disease occurs during early fetal development due to embryological and genetic factors: - **Arrested Neural Crest Migration:** Enteric nerve precursors fail to migrate fully to the distal rectum during gestation. - **Mutations génétiques :** Strong association with mutations in the RET proto-oncogene or conditions like Down syndrome. - **Anorectal Malformation Link:** Occasionally observed alongside complex anorectal malformations or pelvic anomalies. ### Signs and Symptoms Symptoms typically present during the neonatal period or infancy: - **Delayed Meconium Passage:** Failure of a newborn to pass the first stool within 24 to 48 hours of birth. - **Distension abdominale :** Progressive, severe swelling and bloating of the baby's abdomen. - **Vomissements bilieux :** Greenish bile-stained fluid vomiting due to bowel obstruction. - **Refractory Constipation:** Severe chronic constipation unresponsive to dietary adjustments in older infants. ### Pourquoi l'intervention précoce est importante Timely consultation for **Treatment for Hirschsprung Disease in Children** is essential to prevent dangerous complications such as massive colonic distension, acute bowel obstruction, and Hirschsprung-associated enterocolitis (HAEC). Early surgical excision of the nerve-less segment restores normal gastrointestinal passage. ### Approche de soins complets Our pediatric surgery team in Vasant Vihar, New Delhi, provides a complete clinical pathway: - **Suction Rectal Biopsy:** Gold-standard diagnostic procedure confirming the absence of ganglion cells under histopathology. - **Contrast Enema Fluoroscopy:** Mapping the transition zone between narrow aganglionic bowel and dilated normal intestine. - **Chirurgie mini-invasive :** Utilizing scarless transanal pull-through or laparoscopic assistance. #### Autres services - Chirurgie de l'Hypospadias - Chirurgie robotique pédiatrique - UTI Treatment - Reflux Vésico-Uretéral - Hernie et hydrocèle - Hydronéphrose - JPU - Phimosis - Vessie neuropathique - Dysfonctionnement de la miction - Système rénal duplex - PUV - Endo-urologie Pédiatrique et Calculs - Exstrophie Épispadias - Hirschsprung #### Besoin d'une consultation ? Prenez rendez-vous avec le Dr Sujit Chowdhary dès aujourd'hui. Réserver maintenant #### Soins avancés ## Options de traitement ### Transanal Pull-Through (TERPT) Scarless endorectal pull-through performed entirely through the anus, avoiding abdominal cuts and accelerating recovery. ### Laparoscopic-Assisted Pull-Through Keyhole mobilization for long-segment aganglionosis, ensuring precise identification of the transition zone with frozen section biopsy. ### Bowel Management & Rehabilitation Structured post-operative bowel training, dietary fiber protocols, and irrigation therapy to prevent enterocolitis. #### Étape par Étape ## Le processus chirurgical #### 01. Diagnostic Suction Biopsy Painless bedside rectal biopsy to confirm aganglionosis under acetylcholinesterase staining prior to surgery. #### 02. Primary Single-Stage Pull-Through Resection of the diseased bowel and connection of healthy ganglionic colon to the anus, avoiding temporary stomas in most infants. #### 03. Post-Operative Retraining Dedicated long-term bowel management program to help the child achieve full continence and normal stooling patterns. #### Histoires de succès ## Entendre les parents "Our baby was born with Hirschsprung's. Consulting Dr. Sujit for Hirschsprung Disease Treatment in Delhi was the best decision—his scarless pull-through surgery cured our son completely." ##### Anjali Gupta Mère "Dr. Chowdhary's expertise in providing Treatment for Hirschsprung Disease in Children is incredible. Our daughter recovered so quickly after the laparoscopic procedure." ##### Vikram T. Père "Le Dr Chowdhary m'a sauvé la vie. Il a géré la chirurgie de notre nouveau-né avec une telle expertise. La clarté qu'il nous a donnée sur la procédure était très rassurante." ##### Priyanka S. Mère "La précision de la chirurgie néonatale du Dr Chowdhary est incroyable. Sa confiance nous a apporté une immense tranquillité d'esprit pendant une période très stressante." ##### Anita Sharma Mère « Nous avons voyagé depuis une autre ville juste pour le Dr Chowdhary. Son approche est très scientifique et méthodique, tout en étant très attentionnée. » ##### Karan Singh Parent ![Dr. Sujit Chowdhary](../assets/images/doctor.jpeg) #### Excellence en chirurgie digestive ## Pourquoi choisir le Dr Sujit Chowdhary ? Managing a newborn or child with Hirschsprung's disease requires a delicate combination of surgical precision and post-operative bowel rehabilitation. Dr. Sujit Chowdhary provides advanced **Hirschsprung Disease Treatment in Delhi** utilizing scarless transanal techniques. - 31+ Years of Exclusive Paediatric & Neonatal Surgical Experience. - Renowned specialist in providing effective **Treatment for Hirschsprung Disease in Children**. - Pioneer in Transanal Endorectal Pull-Through (TERPT) scarless surgery. - Comprehensive protocol for managing Hirschsprung-associated enterocolitis (HAEC). - Dedicated long-term bowel management for complete continence. En savoir plus sur le médecin #### Requêtes fréquentes ## Foire aux questions ##### What is Hirschsprung's disease in newborns? Hirschsprung's disease is a congenital condition where nerve cells (ganglion cells) fail to form in the wall of the distal large intestine. Without nerves, the bowel cannot relax, causing intestinal obstruction and severe constipation. ##### What are the earliest signs of Hirschsprung disease in a newborn? The primary warning sign is a newborn failing to pass meconium (the first dark stool) within 24 to 48 hours of birth, accompanied by abdominal distension, bilious (green) vomiting, and poor feeding. ##### What is a pull-through procedure? Pull-through surgery is the definitive treatment where the aganglionic (non-functioning) section of the colon is excised, and the healthy, nerve-containing bowel is brought down to connect directly to the anus. ##### What is scarless Transanal Endorectal Pull-Through (TERPT)? TERPT is an advanced minimally invasive technique where the entire procedure is performed through the child's anus, eliminating abdominal incisions, visible scars, and significantly shortening recovery time. ##### Qu'est-ce que l'entérocolite associée à la maladie de Hirschsprung (ECMH) ? HAEC is a potentially severe bowel inflammation caused by bacterial stasis. Symptoms include fever, severe abdominal bloating, and foul-smelling diarrhea, requiring prompt medical irrigation and antibiotic therapy. #### Contactez-nous ## Prendre Rendez-vous Une chirurgie mini-invasive de type « pull-through » rétablit le transit intestinal normal de votre enfant. Prenez rendez-vous pour une consultation dès aujourd'hui. ##### Adresse de la clinique D6, Club, 2, en face de Vasant Vihar, Vasant Vihar, New Delhi, Delhi 110057 ##### Appeler en cas d'urgence +91 98732 06761 ##### Profil Google Voir le profil et les avis