In this episode of the Colorectal Quiz, Drs. Mark Levitt, Jason Frischer, and Chris Gayer discuss a complex case of persistent constipation in a patient with a history of Hirschsprung’s disease. Despite a successful pull-through surgery in infancy, the patient continued to experience significant symptoms into adulthood, highlighting the importance of long-term management.

Key Points Covered:

• Challenges Post-Surgery: Why constipation persists in some Hirschsprung’s patients despite anatomically successful surgeries.
• Diagnostic Approach: The use of exams under anesthesia, rectal biopsies, contrast enemas, and motility testing to evaluate potential causes.
• Segmental Dysmotility Management: How a Malone procedure can provide a minimally invasive solution for improved colon emptying.
• Multidisciplinary Care: Collaboration between surgeons, gastroenterologists, and therapists to address motility disorders, pelvic floor dysfunction, and behavioral factors.

This case highlights the importance of moving beyond the initial diagnosis and surgery to focus on the patient’s current symptoms for better quality of life. Don’t forget to like, comment, and subscribe for more insights into colorectal surgery!