A new operative approach to total aganglionosis of the colon.
Aganglionosis of the entire colon with or without involvement of the small intestine presents special problems in operative management. A new operation is described herein combining the technique of the endorectal pull-through and primary anastomosis with the creation of a reservoir made up of aganglionic right colon and ganglionic small intestine. Decreased fecal fluid and electrolyte losses, and minimization of residual internal sphincter obstruction are advantages of this operation.
D003106:Colon / Q000294:innervation / Q000601:surgery*; D006627:Hirschsprung Disease / Q000601:surgery*; D006801:Humans; D007082:Ileum / Q000294:innervation / Q000601:surgery; D007223:Infant; D008722:Methods; D013536:Suture Techniques