# Hirschsprung.Php
**Source:** https://drsujitchowdhary.com/service/hirschsprung.php
**Language:** Hindi

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# Pediatric Hirschsprung Disease Treatment in Delhi

घर  / सेवाएं  / हिर्शस्प्रंग

![Normal Colon and Rectum vs Hirschsprung's Disease Diagram](../assets/images/services/hirschsprung.jpg)

### Understanding Hirschsprung Disease

Hirschsprung's disease (congenital aganglionic megacolon) is a birth defect where nerve cells (ganglion cells) fail to form in the muscular layer of the distal intestine. Without these nerves, the affected intestinal segment cannot relax, resulting in a functional intestinal obstruction.

When seeking specialized **Hirschsprung Disease Treatment in Delhi**, parents require an experienced pediatric surgical team capable of performing delicate transanal or laparoscopic pull-through procedures. With over 31+ years of experience in pediatric GI surgery, डॉ. सुजीत चौधरी  offers comprehensive neonatal diagnostic evaluation and reconstructive surgical care.

### Causes of Hirschsprung Disease

Hirschsprung's disease occurs during early fetal development due to embryological and genetic factors:

- **Arrested Neural Crest Migration:** Enteric nerve precursors fail to migrate fully to the distal rectum during gestation.
- **Genetic Mutations:** Strong association with mutations in the RET proto-oncogene or conditions like Down syndrome.
- **Anorectal Malformation Link:** Occasionally observed alongside complex anorectal malformations or pelvic anomalies.

### Signs and Symptoms

Symptoms typically present during the neonatal period or infancy:

- **Delayed Meconium Passage:** Failure of a newborn to pass the first stool within 24 to 48 hours of birth.
- **पेट का फैलाव:**  Progressive, severe swelling and bloating of the baby's abdomen.
- **पित्त वाली उल्टी:**  Greenish bile-stained fluid vomiting due to bowel obstruction.
- **Refractory Constipation:** Severe chronic constipation unresponsive to dietary adjustments in older infants.

### प्रारंभिक हस्तक्षेप क्यों मायने रखता है

Timely consultation for **Treatment for Hirschsprung Disease in Children** is essential to prevent dangerous complications such as massive colonic distension, acute bowel obstruction, and Hirschsprung-associated enterocolitis (HAEC). Early surgical excision of the nerve-less segment restores normal gastrointestinal passage.

### व्यापक देखभाल दृष्टिकोण

Our pediatric surgery team in Vasant Vihar, New Delhi, provides a complete clinical pathway:

- **Suction Rectal Biopsy:** Gold-standard diagnostic procedure confirming the absence of ganglion cells under histopathology.
- **Contrast Enema Fluoroscopy:** Mapping the transition zone between narrow aganglionic bowel and dilated normal intestine.
- **मिनिमली इनवेसिव सर्जरी :** Utilizing scarless transanal pull-through or laparoscopic assistance.

#### अन्य सेवाएँ

- हाइपोस्पेडियास सर्जरी
- बाल चिकित्सा रोबोटिक सर्जरी
- UTI Treatment
- वेसिकोएरेटेरल रिफ्लक्स
- हर्निया और हाइड्रोसील
- हाइड्रोनफ्रोसिस
- PUJO
- फिमोसिस
- न्यूरोपैथिक मूत्राशय
- मूत्र त्याग संबंधी शिथिलता
- डुप्लेक्स रीनल सिस्टम
- पीयूवी
- बाल चिकित्सा एंडोरोलॉजी और पथरी
- एक्सट्रॉफी एपिस्पेडियास
- हिर्शस्प्रंग

#### परामर्श की आवश्यकता है?

आज ही डॉ. सुजीत चौधरी के साथ अपॉइंटमेंट बुक करें।

अभी बुक करें

#### उन्नत देखभाल

## उपचार के विकल्प

### Transanal Pull-Through (TERPT)

Scarless endorectal pull-through performed entirely through the anus, avoiding abdominal cuts and accelerating recovery.

### Laparoscopic-Assisted Pull-Through

Keyhole mobilization for long-segment aganglionosis, ensuring precise identification of the transition zone with frozen section biopsy.

### Bowel Management & Rehabilitation

Structured post-operative bowel training, dietary fiber protocols, and irrigation therapy to prevent enterocolitis.

#### कदम-दर-कदम

## सर्जिकल प्रक्रिया

#### 01. Diagnostic Suction Biopsy

Painless bedside rectal biopsy to confirm aganglionosis under acetylcholinesterase staining prior to surgery.

#### 02. Primary Single-Stage Pull-Through

Resection of the diseased bowel and connection of healthy ganglionic colon to the anus, avoiding temporary stomas in most infants.

#### 03. Post-Operative Retraining

Dedicated long-term bowel management program to help the child achieve full continence and normal stooling patterns.

#### सफलता की कहानियाँ

## अभिभावकों से सुनें

"Our baby was born with Hirschsprung's. Consulting Dr. Sujit for Hirschsprung Disease Treatment in Delhi was the best decision—his scarless pull-through surgery cured our son completely."

##### अंजलि गुप्ता

माँ

"Dr. Chowdhary's expertise in providing Treatment for Hirschsprung Disease in Children is incredible. Our daughter recovered so quickly after the laparoscopic procedure."

##### Vikram T.

पिता

"Dr. Chowdhary is a lifesaver. He handled our newborn's surgery with such expertise. The clarity he gave us about the procedure was very reassuring."

##### Priyanka S.

माँ

"The precision in Dr. Chowdhary's neonatal surgery is incredible. His confidence gave us immense peace of mind during a very stressful time."

##### अनिता शर्मा

माँ

"हम डॉ. चौधरी के लिए ही दूसरे शहर से आए थे। उनका दृष्टिकोण बहुत वैज्ञानिक और व्यवस्थित है, फिर भी बहुत देखभाल करने वाला है।"

##### करण सिंह

अभिभावक

![Dr. Sujit Chowdhary](../assets/images/doctor.jpeg)

#### GI Surgical Excellence

## डॉ. सुजीत चौधरी को क्यों चुनें?

Managing a newborn or child with Hirschsprung's disease requires a delicate combination of surgical precision and post-operative bowel rehabilitation. Dr. Sujit Chowdhary provides advanced **Hirschsprung Disease Treatment in Delhi** utilizing scarless transanal techniques.

- 31+ Years of Exclusive Paediatric & Neonatal Surgical Experience.
- Renowned specialist in providing effective **Treatment for Hirschsprung Disease in Children**.
- Pioneer in Transanal Endorectal Pull-Through (TERPT) scarless surgery.
- Comprehensive protocol for managing Hirschsprung-associated enterocolitis (HAEC).
- Dedicated long-term bowel management for complete continence.

डॉक्टर के बारे में अधिक जानें

#### सामान्य प्रश्न

## अक्सर पूछे जाने वाले प्रश्न

##### What is Hirschsprung's disease in newborns?

Hirschsprung's disease is a congenital condition where nerve cells (ganglion cells) fail to form in the wall of the distal large intestine. Without nerves, the bowel cannot relax, causing intestinal obstruction and severe constipation.

##### What are the earliest signs of Hirschsprung disease in a newborn?

The primary warning sign is a newborn failing to pass meconium (the first dark stool) within 24 to 48 hours of birth, accompanied by abdominal distension, bilious (green) vomiting, and poor feeding.

##### What is a pull-through procedure?

Pull-through surgery is the definitive treatment where the aganglionic (non-functioning) section of the colon is excised, and the healthy, nerve-containing bowel is brought down to connect directly to the anus.

##### What is scarless Transanal Endorectal Pull-Through (TERPT)?

TERPT is an advanced minimally invasive technique where the entire procedure is performed through the child's anus, eliminating abdominal incisions, visible scars, and significantly shortening recovery time.

##### What is Hirschsprung-associated enterocolitis (HAEC)?

HAEC is a potentially severe bowel inflammation caused by bacterial stasis. Symptoms include fever, severe abdominal bloating, and foul-smelling diarrhea, requiring prompt medical irrigation and antibiotic therapy.

#### संपर्क करें

## अपॉइंटमेंट बुक करें

Minimally invasive pull-through surgery restores normal bowel passage for your child. Schedule a consultation today.

##### क्लिनिक का पता

डी6, क्लब, 2, वसंत विहार के सामने, वसंत विहार, नई दिल्ली, दिल्ली 110057

##### आपातकाल के लिए कॉल करें

+91 98732 06761

##### गूगल प्रोफाइल

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