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StayCurrentMD
Error Traps and Culture of Safety in Hirschsprung Disease
With Dr. Luis de la Torre
Chapter 1 of 1 · Complications
Error Traps in Hirschsprung Disease
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What the experts said
Many errors still happen in patients with Hirschsprung, resulting in complications and mortality
The most common error in these patients are the false diagnosis of Hirschsprung because of an inadequate biopsy
Incorrect performance of rectal irrigations during medical treatment is a common error
Failure to demonstrate the transitional zone in the contrast enema is a common error
Problematic intraoperative diagnosis of transitional zone is a common error
Damage of the anal canal during mapping the colon with multiple biopsies is a common error
Missing the rectal biopsy to confirm Hirschsprung disease in patients with low intestinal obstruction is a common error
These errors are the source of pull-throughs in patients with idiopathic constipation
These errors result in multiple bowel resection with loss of significant amount of colon
These errors result in fecal incontinence
These errors result in the necessity of colostomy or ileostomies
Avoiding these errors can improve the outcome and quality of life of these patients