Eunice Huang

110 statements · 4 topics

Colorectal / ARM & Hirschsprung · guest expert

Featured statements

if you appropriately teach the parents how to do a washout and give them the tools to do so, it just allows them to have to have a little bit more freedom that they could do that initial washout if they see their child getting sick, and, um, it's, I think it, it improves their quality of life at home.
quote · Colorectal / ARM & Hirschsprung
I don't, um, do any routine therapies afterwards, um, especially initially just because your anastomosis is healing, so any sort of, um, insertion of, uh, either your finger or, uh, a dilator would have the risk of, um, disrupting your anastomosis.
quote · Colorectal / ARM & Hirschsprung
It, it happens in kids because of the anatomy of children. They have a very weak pelvic floor and the rectum is very low and so it tends to pop out easily if you strain hard enough.
quote · Hirschsprung disease
Patients with rectal prolapse should be evaluated to rule out underlying diseases, especially cystic fibrosis.
guideline · Hirschsprung disease
Conservative treatment includes managing constipation, teaching proper toilet sitting with a smaller seat so children don't fall through, providing a step for proper upright posture, and limiting time on the toilet without distractions like iPads.
clinical · Rectal Prolapse
Dr. Huang does not perform routine post-operative therapies initially after Hirschsprung pull-through because the anastomosis is healing and insertion of finger or dilator risks disrupting the anastomosis.
clinical · Enterocolitis

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Eunice's statements about Colorectal / ARM & Hirschsprung 44 statements

Open the Colorectal / ARM & Hirschsprung collection →

Update Course Rewind: 2020 Colorectal Part 1

Statement Dr. Huang does not perform routine post-operative therapies initially after Hirschsprung pull-through because the anastomosis is healing and insertion of finger or dilator risks disrupting the anastomosis. Open
Statement Dr. Huang does not perform routine post-operative therapies initially after Hirschsprung pull-through because the anastomosis is healing and insertion of finger or dilator risks disrupting the anastomosis. Open
Quotation I don't, um, do any routine therapies afterwards, um, especially initially just because your anastomosis is healing, so any sort of, um, insertion of, uh, either your finger or, uh, a dilator would have the risk of, um, disrupting your anastomosis. Open
Quotation I don't, um, do any routine therapies afterwards, um, especially initially just because your anastomosis is healing, so any sort of, um, insertion of, uh, either your finger or, uh, a dilator would have the risk of, um, disrupting your anastomosis. Open
Quotation I really think that one of the reasons that there's probably not a standard method is because each patient is a little bit different. Open
Statement There is probably not a standard post-operative method for Hirschsprung patients because each patient is different, with some doing beautifully after identical surgery while others require frequent follow-up. Open
Statement There is probably not a standard post-operative method for Hirschsprung patients because each patient is different, with some doing beautifully after identical surgery while others require frequent follow-up. Open
Quotation I really think that one of the reasons that there's probably not a standard method is because each patient is a little bit different. Open
Quotation you have the realm of, um, where you feel like you've done the exact same surgery on a patient and some just do beautifully and you, um, think about 3 months later what happened to that patient. They, they obviously have not come back to see me cause they haven't had problems and then the patient that's in your office every couple of weeks because you're not doing very well Open
Quotation you have the realm of, um, where you feel like you've done the exact same surgery on a patient and some just do beautifully and you, um, think about 3 months later what happened to that patient. They, they obviously have not come back to see me cause they haven't had problems and then the patient that's in your office every couple of weeks because you're not doing very well Open
Statement For a first episode of enterocolitis in a patient who has been doing well, Dr. Huang would be more likely to not intervene much beyond treating the enterocolitis and ensuring appropriate recovery. Open
Statement For a first episode of enterocolitis in a patient who has been doing well, Dr. Huang would be more likely to not intervene much beyond treating the enterocolitis and ensuring appropriate recovery. Open
Statement For chronic or recurrent enterocolitis after Hirschsprung pull-through, concerns include anatomic problems, physiologic dysmotility of the ganglionic segment, or technical issues such as a twist. Open
Statement For chronic or recurrent enterocolitis after Hirschsprung pull-through, concerns include anatomic problems, physiologic dysmotility of the ganglionic segment, or technical issues such as a twist. Open
Quotation if you appropriately teach the parents how to do a washout and give them the tools to do so, it just allows them to have to have a little bit more freedom that they could do that initial washout if they see their child getting sick, and, um, it's, I think it, it improves their quality of life at home. Open
Statement Teaching parents how to perform washouts at home and providing them the tools allows them freedom to do initial washout when their child is getting sick, improving quality of life at home. Open
Quotation if you appropriately teach the parents how to do a washout and give them the tools to do so, it just allows them to have to have a little bit more freedom that they could do that initial washout if they see their child getting sick, and, um, it's, I think it, it improves their quality of life at home. Open
Statement Teaching parents how to perform washouts at home and providing them the tools allows them freedom to do initial washout when their child is getting sick, improving quality of life at home. Open

Update Course Rewind: 2020 Colorectal Part 2

Statement Rectal prolapse is a relatively unusual problem in pediatric surgery. Open
Statement Rectal prolapse is a relatively unusual problem in pediatric surgery. Open
Quotation It, it happens in kids because of the anatomy of children. They have a very weak pelvic floor and the rectum is very low and so it tends to pop out easily if you strain hard enough. Open
Statement Children develop rectal prolapse because of their anatomy: they have a very weak pelvic floor and the rectum is very low, so it tends to pop out easily if they strain hard enough. Open
Quotation It, it happens in kids because of the anatomy of children. They have a very weak pelvic floor and the rectum is very low and so it tends to pop out easily if you strain hard enough. Open
Statement Children develop rectal prolapse because of their anatomy: they have a very weak pelvic floor and the rectum is very low, so it tends to pop out easily if they strain hard enough. Open
Statement Conservative treatment includes managing constipation, teaching proper toilet sitting with a smaller seat so children don't fall through, providing a step for proper upright posture, and limiting time on the toilet without distractions like iPads. Open
Statement Conservative treatment includes managing constipation, teaching proper toilet sitting with a smaller seat so children don't fall through, providing a step for proper upright posture, and limiting time on the toilet without distractions like iPads. Open
Quotation They're not getting an iPad where they're sitting there for half an hour straining. Open
Quotation They're not getting an iPad where they're sitting there for half an hour straining. Open
Statement A systematic review in the Journal of Pediatric Surgery included 27 publications with 900 patients: 300 underwent sclerotherapy (8 studies, 3 sclerosing agents) and 600 underwent operative management (22 studies, 17 different procedures). Open
Statement A systematic review in the Journal of Pediatric Surgery included 27 publications with 900 patients: 300 underwent sclerotherapy (8 studies, 3 sclerosing agents) and 600 underwent operative management (22 studies, 17 different procedures). Open
Quotation So anytime you see that large volume of procedures, you know that we're not exactly sure which is the best procedure for this, uh, for this pathology. Open
Statement The large number of different operative procedures (17 procedures across studies) indicates uncertainty about which is the best procedure for rectal prolapse. Open
Quotation So anytime you see that large volume of procedures, you know that we're not exactly sure which is the best procedure for this, uh, for this pathology. Open
Statement The large number of different operative procedures (17 procedures across studies) indicates uncertainty about which is the best procedure for rectal prolapse. Open
Statement Transabdominal procedures have a pretty high success rate for correcting rectal prolapse based on published data. Open
Statement Transabdominal procedures have a pretty high success rate for correcting rectal prolapse based on published data. Open
Statement The complication rate of sclerotherapy is mostly negligible, complications are acute, and there is minimal risk of long-term problems. Open
Statement The complication rate of sclerotherapy is mostly negligible, complications are acute, and there is minimal risk of long-term problems. Open
Statement Patients with rectal prolapse should be evaluated to rule out underlying diseases, especially cystic fibrosis. Open
Statement Patients with rectal prolapse should be evaluated to rule out underlying diseases, especially cystic fibrosis. Open
Statement Pelvic floor therapy is useful in strengthening pelvic floor musculature and, when combined with sclerotherapy and support for anxiety, leads to more durable outcomes. Open
Statement Pelvic floor therapy is useful in strengthening pelvic floor musculature and, when combined with sclerotherapy and support for anxiety, leads to more durable outcomes. Open
Statement Some patients with rectal prolapse and anxiety develop a feedback loop where prolapse becomes an emotional release mechanism for evacuating stool. Open
Statement Some patients with rectal prolapse and anxiety develop a feedback loop where prolapse becomes an emotional release mechanism for evacuating stool. Open
Eunice's statements about Enterocolitis 9 statements

Open the Enterocolitis collection →

Update Course Rewind: 2020 Colorectal Part 1

Statement Dr. Huang does not perform routine post-operative therapies initially after Hirschsprung pull-through because the anastomosis is healing and insertion of finger or dilator risks disrupting the anastomosis. Open
Quotation I don't, um, do any routine therapies afterwards, um, especially initially just because your anastomosis is healing, so any sort of, um, insertion of, uh, either your finger or, uh, a dilator would have the risk of, um, disrupting your anastomosis. Open
Quotation I really think that one of the reasons that there's probably not a standard method is because each patient is a little bit different. Open
Statement There is probably not a standard post-operative method for Hirschsprung patients because each patient is different, with some doing beautifully after identical surgery while others require frequent follow-up. Open
Quotation you have the realm of, um, where you feel like you've done the exact same surgery on a patient and some just do beautifully and you, um, think about 3 months later what happened to that patient. They, they obviously have not come back to see me cause they haven't had problems and then the patient that's in your office every couple of weeks because you're not doing very well Open
Statement For a first episode of enterocolitis in a patient who has been doing well, Dr. Huang would be more likely to not intervene much beyond treating the enterocolitis and ensuring appropriate recovery. Open
Statement For chronic or recurrent enterocolitis after Hirschsprung pull-through, concerns include anatomic problems, physiologic dysmotility of the ganglionic segment, or technical issues such as a twist. Open
Quotation if you appropriately teach the parents how to do a washout and give them the tools to do so, it just allows them to have to have a little bit more freedom that they could do that initial washout if they see their child getting sick, and, um, it's, I think it, it improves their quality of life at home. Open
Statement Teaching parents how to perform washouts at home and providing them the tools allows them freedom to do initial washout when their child is getting sick, improving quality of life at home. Open
Eunice's statements about Hirschsprung disease 44 statements

Open the Hirschsprung disease collection →

Update Course Rewind: 2020 Colorectal Part 1

Statement Dr. Huang does not perform routine post-operative therapies initially after Hirschsprung pull-through because the anastomosis is healing and insertion of finger or dilator risks disrupting the anastomosis. Open
Statement Dr. Huang does not perform routine post-operative therapies initially after Hirschsprung pull-through because the anastomosis is healing and insertion of finger or dilator risks disrupting the anastomosis. Open
Quotation I don't, um, do any routine therapies afterwards, um, especially initially just because your anastomosis is healing, so any sort of, um, insertion of, uh, either your finger or, uh, a dilator would have the risk of, um, disrupting your anastomosis. Open
Quotation I don't, um, do any routine therapies afterwards, um, especially initially just because your anastomosis is healing, so any sort of, um, insertion of, uh, either your finger or, uh, a dilator would have the risk of, um, disrupting your anastomosis. Open
Statement There is probably not a standard post-operative method for Hirschsprung patients because each patient is different, with some doing beautifully after identical surgery while others require frequent follow-up. Open
Quotation I really think that one of the reasons that there's probably not a standard method is because each patient is a little bit different. Open
Statement There is probably not a standard post-operative method for Hirschsprung patients because each patient is different, with some doing beautifully after identical surgery while others require frequent follow-up. Open
Quotation I really think that one of the reasons that there's probably not a standard method is because each patient is a little bit different. Open
Quotation you have the realm of, um, where you feel like you've done the exact same surgery on a patient and some just do beautifully and you, um, think about 3 months later what happened to that patient. They, they obviously have not come back to see me cause they haven't had problems and then the patient that's in your office every couple of weeks because you're not doing very well Open
Quotation you have the realm of, um, where you feel like you've done the exact same surgery on a patient and some just do beautifully and you, um, think about 3 months later what happened to that patient. They, they obviously have not come back to see me cause they haven't had problems and then the patient that's in your office every couple of weeks because you're not doing very well Open
Statement For a first episode of enterocolitis in a patient who has been doing well, Dr. Huang would be more likely to not intervene much beyond treating the enterocolitis and ensuring appropriate recovery. Open
Statement For a first episode of enterocolitis in a patient who has been doing well, Dr. Huang would be more likely to not intervene much beyond treating the enterocolitis and ensuring appropriate recovery. Open
Statement For chronic or recurrent enterocolitis after Hirschsprung pull-through, concerns include anatomic problems, physiologic dysmotility of the ganglionic segment, or technical issues such as a twist. Open
Statement For chronic or recurrent enterocolitis after Hirschsprung pull-through, concerns include anatomic problems, physiologic dysmotility of the ganglionic segment, or technical issues such as a twist. Open
Quotation if you appropriately teach the parents how to do a washout and give them the tools to do so, it just allows them to have to have a little bit more freedom that they could do that initial washout if they see their child getting sick, and, um, it's, I think it, it improves their quality of life at home. Open
Statement Teaching parents how to perform washouts at home and providing them the tools allows them freedom to do initial washout when their child is getting sick, improving quality of life at home. Open
Quotation if you appropriately teach the parents how to do a washout and give them the tools to do so, it just allows them to have to have a little bit more freedom that they could do that initial washout if they see their child getting sick, and, um, it's, I think it, it improves their quality of life at home. Open
Statement Teaching parents how to perform washouts at home and providing them the tools allows them freedom to do initial washout when their child is getting sick, improving quality of life at home. Open

Update Course Rewind: 2020 Colorectal Part 2

Statement Rectal prolapse is a relatively unusual problem in pediatric surgery. Open
Statement Rectal prolapse is a relatively unusual problem in pediatric surgery. Open
Statement Children develop rectal prolapse because of their anatomy: they have a very weak pelvic floor and the rectum is very low, so it tends to pop out easily if they strain hard enough. Open
Quotation It, it happens in kids because of the anatomy of children. They have a very weak pelvic floor and the rectum is very low and so it tends to pop out easily if you strain hard enough. Open
Quotation It, it happens in kids because of the anatomy of children. They have a very weak pelvic floor and the rectum is very low and so it tends to pop out easily if you strain hard enough. Open
Statement Children develop rectal prolapse because of their anatomy: they have a very weak pelvic floor and the rectum is very low, so it tends to pop out easily if they strain hard enough. Open
Statement Conservative treatment includes managing constipation, teaching proper toilet sitting with a smaller seat so children don't fall through, providing a step for proper upright posture, and limiting time on the toilet without distractions like iPads. Open
Statement Conservative treatment includes managing constipation, teaching proper toilet sitting with a smaller seat so children don't fall through, providing a step for proper upright posture, and limiting time on the toilet without distractions like iPads. Open
Quotation They're not getting an iPad where they're sitting there for half an hour straining. Open
Quotation They're not getting an iPad where they're sitting there for half an hour straining. Open
Statement A systematic review in the Journal of Pediatric Surgery included 27 publications with 900 patients: 300 underwent sclerotherapy (8 studies, 3 sclerosing agents) and 600 underwent operative management (22 studies, 17 different procedures). Open
Statement A systematic review in the Journal of Pediatric Surgery included 27 publications with 900 patients: 300 underwent sclerotherapy (8 studies, 3 sclerosing agents) and 600 underwent operative management (22 studies, 17 different procedures). Open
Quotation So anytime you see that large volume of procedures, you know that we're not exactly sure which is the best procedure for this, uh, for this pathology. Open
Statement The large number of different operative procedures (17 procedures across studies) indicates uncertainty about which is the best procedure for rectal prolapse. Open
Statement The large number of different operative procedures (17 procedures across studies) indicates uncertainty about which is the best procedure for rectal prolapse. Open
Quotation So anytime you see that large volume of procedures, you know that we're not exactly sure which is the best procedure for this, uh, for this pathology. Open
Statement Transabdominal procedures have a pretty high success rate for correcting rectal prolapse based on published data. Open
Statement Transabdominal procedures have a pretty high success rate for correcting rectal prolapse based on published data. Open
Statement The complication rate of sclerotherapy is mostly negligible, complications are acute, and there is minimal risk of long-term problems. Open
Statement The complication rate of sclerotherapy is mostly negligible, complications are acute, and there is minimal risk of long-term problems. Open
Statement Patients with rectal prolapse should be evaluated to rule out underlying diseases, especially cystic fibrosis. Open
Statement Patients with rectal prolapse should be evaluated to rule out underlying diseases, especially cystic fibrosis. Open
Statement Some patients with rectal prolapse and anxiety develop a feedback loop where prolapse becomes an emotional release mechanism for evacuating stool. Open
Statement Some patients with rectal prolapse and anxiety develop a feedback loop where prolapse becomes an emotional release mechanism for evacuating stool. Open
Statement Pelvic floor therapy is useful in strengthening pelvic floor musculature and, when combined with sclerotherapy and support for anxiety, leads to more durable outcomes. Open
Statement Pelvic floor therapy is useful in strengthening pelvic floor musculature and, when combined with sclerotherapy and support for anxiety, leads to more durable outcomes. Open
Eunice's statements about Rectal Prolapse 13 statements

Open the Rectal Prolapse collection →

Update Course Rewind: 2020 Colorectal Part 2

Statement Rectal prolapse is a relatively unusual problem in pediatric surgery. Open
Quotation It, it happens in kids because of the anatomy of children. They have a very weak pelvic floor and the rectum is very low and so it tends to pop out easily if you strain hard enough. Open
Statement Children develop rectal prolapse because of their anatomy: they have a very weak pelvic floor and the rectum is very low, so it tends to pop out easily if they strain hard enough. Open
Statement Conservative treatment includes managing constipation, teaching proper toilet sitting with a smaller seat so children don't fall through, providing a step for proper upright posture, and limiting time on the toilet without distractions like iPads. Open
Quotation They're not getting an iPad where they're sitting there for half an hour straining. Open
Statement A systematic review in the Journal of Pediatric Surgery included 27 publications with 900 patients: 300 underwent sclerotherapy (8 studies, 3 sclerosing agents) and 600 underwent operative management (22 studies, 17 different procedures). Open
Statement The large number of different operative procedures (17 procedures across studies) indicates uncertainty about which is the best procedure for rectal prolapse. Open
Quotation So anytime you see that large volume of procedures, you know that we're not exactly sure which is the best procedure for this, uh, for this pathology. Open
Statement Transabdominal procedures have a pretty high success rate for correcting rectal prolapse based on published data. Open
Statement The complication rate of sclerotherapy is mostly negligible, complications are acute, and there is minimal risk of long-term problems. Open
Statement Patients with rectal prolapse should be evaluated to rule out underlying diseases, especially cystic fibrosis. Open
Statement Pelvic floor therapy is useful in strengthening pelvic floor musculature and, when combined with sclerotherapy and support for anxiety, leads to more durable outcomes. Open
Statement Some patients with rectal prolapse and anxiety develop a feedback loop where prolapse becomes an emotional release mechanism for evacuating stool. Open