A proposal to preserve the ileocecal valve and right colon in total colonic aganglionosis.
We report two cases of total colonic aganglionosis in which the ileocecal valve and right colon were preserved. The aganglionic ileal segment is removed leaving behind only a very short prececal remnant, which is anastomosed end-to-back to the remaining ileum. An ileal loop (of approximately 20 cm in length) is isolated and interposed between the right colon and rectum. The operation can be performed as a staged procedure. The advantage of preserving the ileocecal valve with respect to physiology is discussed.
Sauer
H
H
Department of Paediatric Surgery, University of Graz, Austria.
Klos
I
I
D000714:Anastomosis, Surgical; D003106:Colon / Q000294:innervation* / Q000601:surgery; D006627:Hirschsprung Disease / Q000601:surgery*; D006801:Humans; D007080:Ileocecal Valve; D007082:Ileum / Q000294:innervation / Q000601:surgery; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012007:Rectum / Q000601:surgery