الفهرس 
ANATOMY, H ISTOLOGY ANDOnly 14 pages are availabe for public view
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Abstract
Background: Hirschsprung disease (HD) as described by Hirschsprung is a cause of constipation in early infancy, it is a complex disorder resulting from absence of ganglion cells in the bowel wall leading to functional obstruction and bowel dilatation proximal to the affected segment. Hirschsprung disease (HSD) occurs in approximately 1 in 5000 live births with an overall male: female ratio of 3: 1 to 4: 1.
Purpose: To review our outcome in managing cases of Hirschsprung disease in pediatric surgery department Ain Shams University children Hospital during the period from January 2014 to December 2016.
Patients and Methods: During the period from January 2014 to December 2016, patients with Hirschsprung’s disease presented at Pediatric Surgery Department, Ain Shams University Hospitals age from 2 months to 12 years were retrospectively analyzed and included. Patients with redo surgeries were excluded.
Results: Twenty five pediatric patients with HD [21 boys (84%) and 4 girls (16%)] were retrospectively analyzed and included in the period of the study at Pediatric Surgery Department, Ain Shams University Hospitals from January 2014 to December 2016.
Conclusion: Single staged pull through is more common than multiple staged pull through with percentage 64% and 34% respectively. Soave is done in 52% of cases while swenson done 48% with no statistically difference between them as regard outcomes and post operative complication.