术后,认真观察小肠结肠炎的发作很重要,应该迅速启动治疗。如果持续发作小肠结肠炎,尤其在 1 岁之后,那么应该寻找解剖结构上的原因。[46]Levitt MA, Dickie B, Peña A. Evaluation and treatment of the patient with Hirschsprung disease who is not doing well after a pull-through procedure. Semin Pediatr Surg. 2010;19:146-153.http://www.ncbi.nlm.nih.gov/pubmed/20307851?tool=bestpractice.com可能需要重新拖出。[54]Peña A, Elicevik M, Levitt MA. Reoperations in Hirschsprung disease. J Pediatr Surg. 2007;42:1008-1013.http://www.ncbi.nlm.nih.gov/pubmed/17560211?tool=bestpractice.com建议患者接受随访,直到经过如厕训练为止。如果如厕训练的年龄之后发生遗粪,可能需要医学治疗已治疗便秘或运动过强,这两者都是遗粪的可能原因。[51]Levitt MA, Dickie B, Peña A. The Hirschsprungs patient who is soiling after what was considered a "successful" pull-through. Semin Pediatr Surg. 2012;21:344-353.http://www.ncbi.nlm.nih.gov/pubmed/22985840?tool=bestpractice.com[54]Peña A, Elicevik M, Levitt MA. Reoperations in Hirschsprung disease. J Pediatr Surg. 2007;42:1008-1013.http://www.ncbi.nlm.nih.gov/pubmed/17560211?tool=bestpractice.com