Management of Hirschsprung disease in Australia and New Zealand: a survey of the Australian and New Zealand Association of Paediatric Surgeons (ANZAPS)

RM Nataraja; P Ferguson; S King; A Lynch; M Pacilli

Journal article

Management of Hirschsprung disease in Australia and New Zealand: a survey of the Australian and New Zealand Association of Paediatric Surgeons (ANZAPS)

RM Nataraja, P Ferguson, S King, A Lynch, M Pacilli

Pediatric Surgery International | SPRINGER | Published : 2019

DOI: 10.1007/s00383-018-04432-7

Abstract

Purpose: To define the practice of management for Hirschsprung disease (HD) in Australia and New Zealand. Methods: Online survey of Australian and New Zealand Association of Paediatric Surgeons (ANZAPS) members. Results: 56/80 (70%) members from 17 centres responded. Diagnosis: 100% perform suction rectal biopsies; 40% perform a contrast enema. Histopathological staining: H&E (94%), ACHE (70%) and calretinin (75%). Surgery: Primary pull-through (PT) is performed by 88% (100% by < 6/12 months). The Soave–Boley PT is the preferred approach (85%), with laparoscopic assistance (77%) and muscle cuff division (93%). Routine post-operative dilatations are performed by 63% of respondents. If symptom..

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University of Melbourne Researchers

Sebastian King Author

Grants

Funding Acknowledgements

The authors thank Mr Russell Taylor, Associate Professor Jonathan Karpelowsky and Ms Terleetha Kruger for the support provided. We thank the ANZAPS members for taking the time to complete the survey. Associate Professor Sebastian King's position as an Academic Paediatric Surgeon is possible due to a generous grant from The Royal Children's Hospital Foundation.