# Hirschsprung.Php **Source:** https://drsujitchowdhary.com/service/hirschsprung.php **Language:** Arabic --- # Pediatric Hirschsprung Disease Treatment in Delhi المنزل / الخدمات / مرض هيرشسبرونغ ![Normal Colon and Rectum vs Hirschsprung's Disease Diagram](../assets/images/services/hirschsprung.jpg) ### Understanding Hirschsprung Disease مرض هيرشسبرونغ (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, الدكتور سوجيت شودري 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. - **الطفرات الجينية:** 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. - **انتفاخ البطن:** Progressive, severe swelling and bloating of the baby's abdomen. - **القيء الصفراوي:** Greenish bile-stained fluid vomiting due to bowel obstruction. - **Refractory Constipation:** Severe chronic constipation unresponsive to dietary adjustments in older infants. ### أهمية التدخل المبكر 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. ### نهج الرعاية الشاملة 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. - **الجراحة طفيفة التوغل :** Utilizing scarless transanal pull-through or laparoscopic assistance. #### خدمات أخرى - جراحة الإحليل التحتاني - جراحة الأطفال الروبوتية - UTI Treatment - ارتجاع بولي مثاني - الفتق والقيلة الاستسقاء - الاستسقاء الكلى - انسداد الحالب الكلوي - الشبم - المثانة العصبية - خلل التبول - نظام الكلى المزدوج - PUV - جراحة المسالك البولية بالمنظار للأطفال والحصوات - الفتق المثاني والإفراغي - مرض هيرشسبرونغ #### هل تحتاج إلى استشارة؟ احجز موعدًا مع الدكتور سوجيت تشودري اليوم. احجز الآن #### رعاية متقدمة ## خيارات العلاج ### 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. #### Step-by-Step ## العملية الجراحية #### 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. #### قصص نجاح ## اسمع من الآباء "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." ##### أنجالي غوبتا أم "Dr. Chowdhary's expertise in providing Treatment for Hirschsprung Disease in Children is incredible. Our daughter recovered so quickly after the laparoscopic procedure." ##### فيكرام ت. أب "الدكتور شودهاري منقذ للحياة. لقد تعامل مع جراحة مولودنا الجديد بخبرة كبيرة. الوضوح الذي قدمه لنا حول الإجراء كان مطمئنًا للغاية." ##### بريانكا س. أم "الدقة في جراحة حديثي الولادة للدكتور تشودري لا تصدق. ثقته منحتنا راحة بال هائلة خلال وقت عصيب للغاية." ##### أنيتا شارما أم سافرنا من مدينة أخرى فقط للدكتور تشودري. منهجه علمي ومنهجي للغاية ولكنه عطوف جدًا. ##### كاران سينغ ولي الأمر ![Dr. Sujit Chowdhary](../assets/images/doctor.jpeg) #### التميز الجراحي للجهاز الهضمي ## لماذا تختار الدكتور سوجيت تشودري؟ 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. تعرف على المزيد عن الطبيب #### استفسارات شائعة ## الأسئلة الشائعة ##### 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. ##### ما هو التهاب الأمعاء المرتبط بمرض هيرشسبرونج (HAEC)؟ 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. #### تواصل معنا ## احجز موعدًا جراحة السحب طفيفة التوغل تعيد وظيفة الأمعاء الطبيعية لطفلك. حدد موعد استشارة اليوم. ##### عنوان العيادة D6, Club, 2, مقابل فاسانت فيهار، فاسانت فيهار، نيودلهي، دلهي 110057 ##### اتصال للطوارئ +91 98732 06761 ##### ملف جوجل عرض الملف الشخصي والمراجعات