[The prevention and treatment of enterocolitis in children with Hirschsprung's disease].

Enterocolitis remains the most grave and very dangerous complication of Hirschsprung's disease. Its etiology is not fully understood. It can occur in children both before and after surgery. The article focuses on the course of enterocolitis in 35 pediatric patients with Hirschsprung's disease. The clinical course varied from symptom-free course to an aggregate of manifest symptoms of enterocolitis and rapid progression of pathological changes. In all above pediatric patients, a therapeutic and prophylactic complex of measures was inaugurated involving urgent decompression of colon with irrigations and symptomatic therapy as well. Early diagnosis of Hirschsprung's disease is regarded as a mainstay in enterocolitis prophylaxis. The most effective method of prophylaxis and treatment of enterocolitis is decompression of a stretched colon with the aid of the irrigation technique.