{"id":5627,"date":"2024-08-09T14:57:04","date_gmt":"2024-08-09T14:57:04","guid":{"rendered":"https:\/\/alton-medical.com.ua\/?post_type=case&p=5627"},"modified":"2025-10-27T09:35:13","modified_gmt":"2025-10-27T09:35:13","slug":"klinichnyj-vypadok-z-vykorystannyam-in","status":"publish","type":"case","link":"https:\/\/alton-medical.com.ua\/en\/case\/klinichnyj-vypadok-z-vykorystannyam-in\/","title":{"rendered":"A clinical case using Alton Medical instruments"},"content":{"rendered":"

Problem<\/h4>\n

Your attention is a unique case, for the first time endoscopic treatment of a patient with Hirschsprung's disease was performed using the PREM (per rectum endoscopic myotomy) method.<\/p>\n

28-year-old patient, recurrence of Hirschsprung's disease according to MSCT and radiological data (passage of contrast material) - phenomena of colon dilatation and persistent spasm of the rectum, with defecation disorder. From the anamnesis: he has been sick since childhood, at the age of 4 he underwent a resection of the rectosigmoid part of the large intestine, then there was an obstruction. operated with colostomy removal. Exacerbation last year, increased intake of laxatives. I asked for help. Endoscopic operation PREM was offered!<\/p>\n