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This study aimed to evaluate the benefit of routine dilations compared with a single postoperative calibration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who underwent HD surgery within the first year of life at the University Children\u2019s Hospital Zurich or the University Hospital Frankfurt were retrospectively reviewed. Two groups were compared: those with serial postoperative dilations (PD) and those with a single calibration (PC). Primary outcomes included anastomotic stricture, Hirschsprung-associated enterocolitis (HAEC), and constipation\/fecal incontinence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 91 patients were included\u201446 (51%) in the PD group and 45 (49%) in the PC group. Strictures occurred in 5 patients (10.9%) with PD and 9 (20%) with PC (p\u2009=\u20090.259). HAEC developed in 5 (10.9%) PD and 6 (13.3%) PC patients (p\u2009=\u20090.718). Rates of constipation\/fecal incontinence were similar (p\u2009=\u20090.67).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Routine postoperative anal dilation after HD surgery does not significantly reduce the incidence of strictures, HAEC, or constipation\/fecal incontinence. Single postoperative calibration appears sufficient to determine whether further dilation is necessary.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00383-026-06351-4","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T09:11:09Z","timestamp":1772183469000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The PODCAST-question: postoperative dilation versus calibration after surgical treatment of Hirschsprung\u2019s disease\u2014what is necessary?"],"prefix":"10.1007","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6951-5641","authenticated-orcid":false,"given":"Daniel","family":"Keese","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Friedmacher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Udo","family":"Rolle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Neeser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Gerwinn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sasha Job","family":"Tharakan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ueli","family":"M\u00f6hrlen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,27]]},"reference":[{"key":"6351_CR1","doi-asserted-by":"publisher","first-page":"839","DOI":"10.1016\/S0022-3468(89)80549-4","volume":"24","author":"O Swenson","year":"1989","unstructured":"Swenson O (1989) My early experience with Hirschsprung\u2019s disease. 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