Dr. Marc Levitt · Transanal-only Swenson-like pull-through for late diagnosed Hirschsprung disease
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Article1 min read·Published Jul 2026

Transanal-only Swenson-like pull-through for late diagnosed Hirschsprung disease

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Article · Jul 2026 · 1 min read

In brief

In brief

This article describes a transanal-only Swenson-like pull-through technique for children with late-diagnosed Hirschsprung disease presenting with severe constipation and low rectosigmoid involvement. The approach offers a minimally invasive alternative for this specific patient subset who lack enterocolitis.

Written by the GCMD Library team from the article.

Marc Levitt

Hirschsprung disease (HD) is an obstructive colonic process usually diagnosed in the neonatal period. A small subset of cases are diagnosed late, present with severe constipation without enterocolitis and have low rectosigmoid disease. A transanal-only pull-through is a well-described approach but i …

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