A two -year -old boy of Nashik, who diagnosed a rare disease, made him naturally unable to hunt him since birth. The disease called Hirshesprung’s disease affects 1 in 5,000 to 10,000 children and leads to severe constipation.

The child was completely dependent on the daily enema for the last two years. After a month, his parents began to see that he was struggling with severe constipation, which soon became a constant cause of concern.

He was unable to pass the stool for 8 days. Despite many drugs and daily enemies, their condition never improved. His stomach often flowed with gas, and his weight continued to grow.

When the parents brought their son to the Glayngles Hospital in Mumbai, some clinical trials such as barium enema, endoscopy biopsy and manometry confirmed the situation.

Hirshespring disease occurs when nerve cells (pulse cells) at the lower part of the large intestine fail to develop, causing stool to accumulate, causing obstruction and chronic constipation.

There is no medical management for this condition, and it can also become life-threatening due to infection. In very young infants, the delayed passage of the first green poop (meconium) can be an initial signal.

Older children usually suffer from inflamed stomach, vomiting, poor weight gain and continuous constipation, while some may suffer from infections. Standard treatment of the condition requires major surgery that is either open or laparoscopic where the affected part of the intestine is removed and again added.

“However, in the case of this child, we used a minimum invasive technique called per-rectal endoscopic myotomy (Prem), which survives any external scar. The child is free from symptoms, free from symptoms, eating well, and without passing the stool without the need for enema. Only after birth, symptomatic,” Dr. Vibor Borker said, a pediatric gastroenterologist, who treated the boy.

CMP (per-rectal adoscopic myotomy) is a medical procedure in which doctors use a thin, flexible tube with a camera and tool (called endoscope) to go through the rectum without any cut or stitches. They carefully cut the tight muscles to help it relax. This makes it easier for the person to hunt normally.

This is a minimum invasive process, which means that it is soft on the body and helps patients to recover faster.

Traditional gastroenterologist Dr. Shankar Zanwar said that the process is performed under general anesthesia. The entire process is performed endoscopically, where a small cut is made inside the patient’s anus. A tunnel from this cut is formed within layers of the intestine and a non-functional section of the intestine which is deficient in the vein, is cut internal.

The entry cut then closes with the clip. As the process is performed endoscopically, there is no scar or cut on the surface of the body and the patient is pain-free after the procedure. The entire operation lasted for 3 hours.

Globally, only 13 such procedures have been reported, and this is the first case to be treated by endoscopic method in Mumbai.

The boy who could not hunt for two years is now leading a normal life after the process. He is free from abdominal pain and swelling, without any external stitches, and no longer further medical intervention is required.

CEO of Glayngles Hospital Mumbai, Dr. Bipin Chewle said, “The success of this surgery not only brings hope for families facing similar situations.”