# Hirschsprung.Php **Source:** https://drsujitchowdhary.com/service/hirschsprung.php **Language:** Russian --- # Pediatric Hirschsprung Disease Treatment in Delhi Дом / Услуги / Болезнь Гиршпрунга ![Normal Colon and Rectum vs Hirschsprung's Disease Diagram](../assets/images/services/hirschsprung.jpg) ### Understanding Hirschsprung Disease Болезнь Гиршпрунга (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, Доктор Суджит Чоудхари 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. - **Генетические мутации:** 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. - **Вздутие живота:** Progressive, severe swelling and bloating of the baby's abdomen. - **Рвота с желчью:** Greenish bile-stained fluid vomiting due to bowel obstruction. - **Refractory Constipation:** Severe chronic constipation unresponsive to dietary adjustments in older infants. ### Почему ранняя интервенция имеет значение 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. ### Комплексный подход к уходу 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. - **Минимально инвазивная хирургия :** Utilizing scarless transanal pull-through or laparoscopic assistance. #### Другие услуги - Хирургия гипоспадии - Детская роботизированная хирургия - UTI Treatment - Везикоуретральный рефлюкс - Грыжа и гидроцеле - Гидронефроз - PUJO - Фимоз - Невропатический мочевой пузырь - Нарушение мочеиспускания - Двойная система почек - PUV - Детская эндоурология и камни - Экстрофия мочевого пузыря и эписпадия - Болезнь Гиршпрунга #### Нужна консультация? Запишитесь на прием к доктору Суджиту Чоудхари сегодня. Забронировать сейчас #### Передовая помощь ## Варианты лечения ### 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. #### Шаг за шагом ## Хирургический процесс #### 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. #### Истории успеха ## Услышать от родителей "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." ##### Анджали Гупта Мать "Dr. Chowdhary's expertise in providing Treatment for Hirschsprung Disease in Children is incredible. Our daughter recovered so quickly after the laparoscopic procedure." ##### Викрам Т. Отец "Доктор Чоудхари — спаситель. Он с таким мастерством провел операцию на нашем новорожденном. Четкость, с которой он объяснил нам процедуру, очень успокаивала." ##### Приянка С. Мать Точность неонатальной хирургии доктора Чоудхари невероятна. Его уверенность дала нам огромное спокойствие в очень напряженное время. ##### Анита Шарма Мать "Мы приехали из другого города специально к доктору Чоудхари. Его подход очень научный и методичный, но в то же время очень заботливый." ##### Каран Сингх Родитель ![Dr. Sujit Chowdhary](../assets/images/doctor.jpeg) #### Превосходство в области желудочно-кишечной хирургии ## Почему стоит выбрать доктора Суджита Чоудхари? 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. Узнать больше о докторе #### Частые запросы ## Часто задаваемые вопросы ##### 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. ##### Что такое энтероколит, связанный с болезнью Гиршпрунга (ЭБГ)? 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. #### Связаться с нами ## Записаться на прием Малоинвазивная операция с пересечением восстанавливает нормальное прохождение кишечника у вашего ребенка. Запишитесь на консультацию сегодня. ##### Адрес клиники D6, Club, 2, напротив Vasant Vihar, Vasant Vihar, Нью-Дели, Дели 110057 ##### Вызов скорой помощи +91 98732 06761 ##### Профиль Google Просмотреть профиль и отзывы