Hirschprung's disease

• What causes Hirschsprung’s?

  Developmental failure -> aganglionic segment of bowel
• What condition is Hirschsprung’s associated/more common in?

  Down syndrome
• How can Hirschsprung’s present?


  Constipation
• What are some investigations for Hirschsprung’s?


  Abdo x-ray

  Rectal biopsy
• What is the gold standard investigation for Hirschsprung’s?


  Rectal biopsy
• How is Hirschsprung’s managed initially?


  Rectal washouts/bowel irrigation
• What is the definitive management for Hirschsprung’s?


  Surgery