Collection
Built automatically
From across the library
Not curated by a person
Trisomy 21
Compiled from across the library · built automatically
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
When the distance between the anterior abdominal wall and the posterior diaphragmatic rim is quite short, an alternate simpler technique using Ethibond sutures on CTX needles can be used Laparoscopic-assisted Repair of Morgagni Hernia · 8:00
Laparoscopic-assisted Repair of Morgagni Hernia
Watch →
This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pedia
video10:44 · Jan 2020
Children with Hirschsprung disease may have ongoing issues with constipation, incontinence, and occasional abdominal pain after surgery — Michael Koep, CAPS - Educational Outcomes in School Age Children with a History of Hirschsprung’s Disease - Michael Cowap · 0:27
CAPS - Educational Outcomes in School Age Children with a History of Hirschsprung’s Disease - Michael Cowap
Watch →
Listen to Michael Cowap gave his presentation of "Educational Outcomes in School Age Children with a History of Hirschsprung’s Disease" at the first ever Best of the Best in Pediatric Surgery event.Don't forget to like and subscribe to see
video · May 2022
Bad prognosis for bowel control does not mean the patient is a candidate for permanent colostomy Panel Discussion and Case Presentation Part I: Pediatric Bowel Management 2013 · 5:59
Panel Discussion and Case Presentation Part I: Pediatric Bowel Management 2013
Watch →
During the Pediatric Bowel Management Course in 2013,directors DrsAndrea Bischoff, Alberto Peña and Todd Ponsky discusscontroversial/hot topics surrounding the management and diagnosis of pediatric bowel conditions.In this session, the pane
video12:27 · Jan 2019
Colorectal Quiz: Episode 46 - Hirschsprung's Disease
Watch →
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's disease, featuring a neonatal patient with Trisomy 21. Through a step-b
video29:52 · Jul 2026
Colorectal Quiz: Episode 46
Listen →
In this episode of the Colorectal Quiz, Drs. Marc Levitt, Jason Frischer, Kristy Rialon, and Lily Cheng explore the diagnostic and surgical challenges of Hirsch
podcast29:59 · Jul 2026
NPO babies diagnosed with Hirschsprung disease are typically managed with irrigations, antibiotics if they show evidence of enterocolitis, and NPO or NG tubes if they're distended. — Aaron Garrison, Hirschsprung Disease in Brief · 6:37
Hirschsprung Disease in Brief
Watch →
The surgical management for Hirschsprung disease has changed dramatically over the past few decades. So here, we discuss the basics of workup, diagnosis, and surgical treatment for aganglionic megacolon AKA Hirschsprung disease with Dr. Aar
video10:44 · Feb 2022
Expert statements from the recordings in this collection.
CAPS - Educational Outcomes in School Age Children with a History of Hirschsprung’s Disease - Michael Cowap
Hirschsprung disease is a loss of innervation to a section of bowel
Michael Koep0:27
Hirschsprung disease is sometimes associated with genetic syndromes such as Down syndrome
Michael Koep0:27
Hirschsprung disease can be fixed but requires surgery that involves cutting that section of bowel out
Michael Koep0:27
Children with Hirschsprung disease may have ongoing issues with constipation, incontinence, and occasional abdominal pain after surgery
Michael Koep0:27
The study compared children with Hirschsprung disease to their peers in real-world assessments
Michael Koep0:27
While there may be some delay in the beginning in the preschool assessment, once children with Hirschsprung start school, there does not appear to be a significant difference between them and their peers in assessments that include reading and number skills
Michael Koep0:27
There is not a significant difference in graduation from grade 12 between children with Hirschsprung disease and their peers
Michael Koep0:27
Neurodevelopmental outcomes are just as important to parents as what surgeons do directly in the operating room
Data was only specifically from Manitoba and using a Manitoba health repository
Michael Koep5:02
The standardized tests are standardized within each province
Pam Choi5:29
The data includes public school, private school and homeschooling
Michael Koep5:35
First Nations and indigenous schools were not included in the repository
Michael Koep5:35
The study did not account for how the disease is affecting each child individually
Michael Koep6:21
Patients were matched based on being male and socioeconomic status
Michael Koep6:21
The data was from 1997 to 2012
Michael Koep7:16
The study did not include a subset analysis of long segment Hirschsprung disease
Michael Koep7:44
Panel Discussion and Case Presentation Part I: Pediatric Bowel Management 2013
The sacral ratio correlates with prognosis for bowel control in anorectal malformation patients
Normal sacral ratio is 0.7 or more, indicating good prognosis for bowel control
Sacral ratio of 0.4 or less means the patient will be fecally incontinent regardless of malformation type
No patient with sacral ratio less than 0.4 has ever been observed to be fecally continent
Patients with sacral ratio 0.4 or less will need enemas for life
The only indication for permanent colostomy is incapacity to form solid stool
Cites a guideline5:38
Bad prognosis for bowel control does not mean the patient is a candidate for permanent colostomy
Cites a guideline5:59
Patients subjected to bowel management report better quality of life than having a colostomy
Expert opinion6:25
With incapacity to form solid stool there is no bowel management option
Patients with Down syndrome and anorectal malformation have 80% chance of bowel control
Most patients with Down syndrome have anorectal malformation without fistula
Only 15% of patients with rectal bladder neck fistula have bowel control
Rectal perineal fistula is the malformation with the best prognosis for bowel control
Good prognosis depends upon having a good operation, good sacrum, and no tethered cord