2021 Hirschsprung Disease Course

Course Summary

The 2021 Hirschsprung Disease Course focused on “State of the Art” and important technical details for the successful diagnosis, treatment, and postoperative care of Hirschsprung disease.

Led by Alberto Peña, MD; Andrea Bischoff, MD; and Luis De La Torre, MD; from the International Center for Colorectal and Urogenital Care at Children's Hospital Colorado, the Hirschsprung Disease Course was a comprehensive surgical and management workshop hosted virtually through The Hendren Project.

Target Audience

The course is designed for pediatric surgeons, fellows, gastroenterologists, pediatricians, pathologists, radiologists, and pediatric nurses who manage patients with colorectal problems.

Learning Objectives

At the conclusion of the course, participants will be able to:

• Review the principles of diagnosis and management of Hirschsprung disease.
• Discuss the challenges of a primary pull-through vs staged pull-through.
• Describe the importance of the anal canal in patient with fecal incontinence and colitis after the repair of Hirschsprung.
• Recognize the contribution of a frozen section biopsy and paraffin-embedded biopsy in the diagnosis of Hirschsprung and the “Transitional Zone”.
• Review the comprehensive post-operative management of Hirschsprung Disease.
• Explain the use of the transanal approach for different colorectal conditions.

Learner Outcome

After attending this event, participants will report increased knowledge of pertinent clinical conditions seen in pediatric patients with a Hirschsprung disease and relate any intended changes in practice that may be made a a result of the learning that took place at this activity.

Presentations


Day 1

Diagnosis and Medical Management of Hirschsprung in the Newborn

Andrea Bischoff, MD
Director, International Center for Colorectal and Urogenital Care, Children’s Hospital Colorado, Aurora, CO
Attending Pediatric Surgeon, Children’s Hospital Colorado
Associate Professor, University of Colorado, Aurora, CO

Primary Pull-through: How, When, and Where

Luis De La Torre, MD
International Center for Colorectal and Urogenital Care, Children’s Hospital Colorado, Aurora, CO
Associate Professor, University of Colorado, Aurora, CO

Histopathology of Hirschsprung: Pathogenesis & Preoperative Diagnosis

Mark Lovell, MD
Professor of Pathology, Children’s Hospital Colorado, Aurora, CO

Histopathology of Hirschsprung: Interoperative Diagnosis, Frozen Sections, Transitional Zone, Controversies, Pitfalls, and Recommendations

Michael Arnold, MD, PhD
Associate Professor of Pathology, Children's Hospital Colorado, Aurora, CO

Evolution of Treatment of Hirschsprung Disease

Alberto Peña, MD
Founding Director, International Center for Colorectal Care, Children's Hospital Colorado, Aurora, CO
Professor Emeritus, University of Colorado, Anschutz Medical Campus, Aurora, CO

Imaging in Hirschsprung Disease

Kari Hayes, MD
Director Pediatric Radiology Fluoroscopy, Children's Hospital Colorado, Aurora, CO
Director of Education, Children's Hospital Colorado, Aurora, CO

Swenson, Duhamel, or Soave?

Luis De La Torre, MD
International Center for Colorectal and Urogenital Care, Children’s Hospital Colorado, Aurora, CO
Associate Professor, University of Colorado, Aurora, CO


Day 2

Total Colonic Aganglionosis: When and How To Do the Pull Through

Andrea Bischoff, MD
Director, International Center for Colorectal and Urogenital Care, Children’s Hospital Colorado, Aurora, CO
Attending Pediatric Surgeon, Children’s Hospital Colorado
Associate Professor, University of Colorado, Aurora, CO

Postoperative Obstruction: An Unsolved Problem

Luis De La Torre, MD
International Center for Colorectal and Urogenital Care, Children’s Hospital Colorado, Aurora, CO
Associate Professor, University of Colorado, Aurora, CO

The Anal Canal in Hirschsprung

Alberto Peña, MD
Founding Director, International Center for Colorectal Care, Children's Hospital Colorado, Aurora, CO
Professor Emeritus, University of Colorado, Anschutz Medical Campus, Aurora, CO

Appendicostomy and Neo-appendicostomy for Antegrade Enema Administration (Video Only)

Andrea Bischoff, MD
Director, International Center for Colorectal and Urogenital Care, Children’s Hospital Colorado, Aurora, CO
Attending Pediatric Surgeon, Children’s Hospital Colorado
Associate Professor, University of Colorado, Aurora, CO

Luis De La Torre, MD
International Center for Colorectal and Urogenital Care, Children’s Hospital Colorado, Aurora, CO
Associate Professor, University of Colorado, Aurora, CO

Alberto Peña, MD
Founding Director, International Center for Colorectal Care, Children's Hospital Colorado, Aurora, CO
Professor Emeritus, University of Colorado, Anschutz Medical Campus, Aurora, CO

Idiopathic Constipation Versus Hirschsprung

Luis De La Torre, MD
International Center for Colorectal and Urogenital Care, Children’s Hospital Colorado, Aurora, CO
Associate Professor, University of Colorado, Aurora, CO

Surgical Treatment of Idiopathic Constipation

Luis De La Torre, MD
International Center for Colorectal and Urogenital Care, Children’s Hospital Colorado, Aurora, CO
Associate Professor, University of Colorado, Aurora, CO

Transanal Approach for Hirschsprung, Idiopathic Rectal Prolapse, and Rectal Prolapse After the Repair of an Anorectal Malformation

Luis De La Torre, MD
International Center for Colorectal and Urogenital Care, Children’s Hospital Colorado, Aurora, CO
Associate Professor, University of Colorado, Aurora, CO

Bowel Management for Colitis: Irrigation Versus Enemas

Andrea Bischoff, MD
Director, International Center for Colorectal and Urogenital Care, Children’s Hospital Colorado, Aurora, CO
Attending Pediatric Surgeon, Children’s Hospital Colorado
Associate Professor, University of Colorado, Aurora, CO

Enemas for Fecal Incontinence in Hirschsprung Disease

Amy Krause, BSN, RN, CPN
International Center for Colorectal and Urogenital Care, Children's Hospital Colorado, Aurora, CO


 

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