[Hirschsprung disease. (Except total forms) (author's transl)].

Abstract

This panel discussion was considered for paediatricians attending a specialisation conference. The study eliminates total colonictypes. The first part is devoted to clinical study of symptoms in neonates and enterocolitis. Two different types are advocated, due to different aetiologies : The first to obstruction. The second one to Schwartzman reaction similar as Necrotizing enterocolitis of the premature baby. The second part analyzes the methods of diagnosis. No discussion about pathology and X. Ray. Pellerin trust mainly pressure studies, while Carcassonne never operates on a cases without a biopsy, even if the manometry, is positive. About biopsy he used for 4 years now, the Helen Noblett device with great confidence. Polonovski discusses the differential diagnosis with so called pseudo and false Hirschprung. The third part gives the different trends of the authors in matter of treatment: --Pellerin studies the indications for nursing, while Jaubert analyses his series of Colostomies. -- The curative procedures are shortly discussed : Pellerin using the Swenson-Pellerin procedure, Jauber spliting himself between Senson and Soave, Carcassone using Swenson. Two series of immediate and late results are assessed that prove an improvement of the results with the experience of the surgeons.