Improving Health-Related Quality of Life in a Child with Hirschsprung Disease: A Public Health Approach to Rehabilitation
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Abstract
Purpose- The purpose of documenting this case report is to explore the inpatient rehabilitation techniques in a case of Hirschsprung disease, primarily a rare congenital disease characterized by loss of peristaltic bowel movement as a result of absent ganglionic cells in the distal colon. Currently available literature highlights the presentation and surgical management of this rare disease; however, no evidence is present regarding the role and efficiency of physiotherapy rehabilitation in patients with Hirschsprung disease.
Method- We present a case of a 5-year-old baby who was previously confirmed with Hirschsprung disease at the age of 1. She underwent a high-sigmoid colostomy as a corrective surgery, but years later, she presented with prolapse and was admitted for a second colostomy. This documentation demonstrates the importance of inpatient rehabilitation after the colostomy is performed. Physiotherapy treatment included pre-operative and post-operative care focusing on maintaining bronchial hygiene, achieving early mobility, and improving the patient's and the parents' quality of life.
Result- As a result of pre-operative and post-operative inpatient physiotherapy treatment, the patient’s general condition as well as quality of life have shown an improvement.
Conclusion- Physical rehabilitation has shown an enhancement in the patient's overall functioning. Despite the rarity of this illness, rehabilitation techniques should be considered to minimise adverse consequences.
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Crétolle C. Anorectal Malformations. In: Faure C, Thapar N, Di Lorenzo C, editors. Pediatric Neurogastroenterology: Gastrointestinal Motility Disorders and Disorders of Gut Brain Interaction in Children [Internet]. Cham: Springer International Publishing; 2022 [cited 2023 May 16]. p. 399–413. Available from: https://doi.org/10.1007/978-3-031-15229-0_30
Wu K, Little RD, Long A, Khera A, Kamm MA, Basnayake C. Clinical features and outcomes of adult idiopathic megarectum. Eur J Gastroenterol Hepatol. 2023 May 25;35(5):550–2.
van Kuyk EM, Brugman-Boezeman ATM, Wissink-Essink M, Severijnen RSVM, Festen C, Bleijenberg G. Defecation problems in children with Hirschsprung’s disease: a biopsychosocial approach. Pediatr Surg Int. 2000 July 1;16(5):312–6.
Wegh CAM, Benninga MA. Functional Constipation in Children. In: Faure C, Thapar N, Di Lorenzo C, editors. Pediatric Neurogastroenterology: Gastrointestinal Motility Disorders and Disorders of Gut Brain Interaction in Children [Internet]. Cham: Springer International Publishing; 2022 [cited 2023 May 16]. p. 525–43. Available from: https://doi.org/10.1007/978-3-031-15229-0_41
Jacobs SE, Tiusaba L, Bokova E, Russell TL, Al-Shamaileh T, Feng C, et al. Functional constipation refractory to medical management: The colon is the problem. J Pediatr Surg. 2023 Feb 1;58(2):246–50.
Shokirovich MU, Ugli OMM. ASSESSMENT OF THE QUALITY OF LIFE IN CHILDREN AFTER SURGICAL TREATMENT OF HIRSHPRUNG DISEASE. Art Med Int Med Sci J [Internet]. 2023 May 16 [cited 2023 Sept 16];3(1). Available from: https://www.artofmedicineimsj.us/index.php/artofmedicineimsj/article/view/226
Hoel AT, Teig CJ, Lindam A, Øresland T, Bjørnland K. Evaluation of a Group-based Patient Education Program Promoting Self-management in Adults with Hirschsprung Disease and Anorectal Malformations. J Pediatr Surg [Internet]. 2023 June 27 [cited 2023 Sept 16]; Available from: https://www.sciencedirect.com/science/article/pii/S0022346823003986
Balela N, Fauzi AR, Nugroho N, Dwihantoro A, Gunadi null. Prognostic factors for persistent obstructive symptoms in patients with Hirschsprung disease following pull-through. PloS One. 2023;18(9):e0290430.
Gagnon H, Duguay S, Prasil P, Castilloux J. Short and long-term outcomes in Hirschsprung disease: Are the syndrome-associated patients really doing worse? J Pediatr Gastroenterol Nutr. 2023 July 27.