Episode notes
In this episode of the Colorectal Quiz, Drs. Marc Levitt, Jason Frischer, Kristy Rialon, and Lily Cheng explore the diagnostic and surgical challenges of Hirschsprung disease, featuring a neonatal patient with Trisomy 21. Through a step-by-step case discussion, they highlight how early recognition, biopsy strategy, and patient-specific surgical planning can dramatically improve outcomes.
Key Highlights:
- Patient Case Study: A newborn with Trisomy 21, bilious emesis, and delayed meconium passage sparks a thorough workup for Hirschsprung disease.
- Diagnosis: The team breaks down how rectal irrigations and full-thickness biopsies confirm aganglionosis and rule out other causes.
- Surgical Strategy: A discussion on when t ...
Keywords
colostomymeconiumcolorectalneonatalhirschsprung diseasehdcolorectalquizhirschsprungbotoxcolorectal surgerybiopsyneonatal patienttrisomy 21biopsy strategybilious emesisrectal irrigationsaganglionosisbiopsiesileostomyinternal sphincter