A 3-year survivor of near-total intestinal aganglionosis.
A newborn girl had no ganglion cells beyond 2 cm distal to the ligament of Treitz. The proximal jejunum was dilated. A jejunostomy constructed 46 cm distal to the ligament of Treitz functioned. A 28-cm jejunal segment was myectomized to augment enteral feeding. For almost 1 year she has been on enteral feedings only, and her body size has been in the 75th percentile.
Zerella
J T
JT
Department of Surgery, Phoenix Children's Hospital, AZ 85006.
Ingebo
K R
KR
D004750:Enteral Nutrition; D005260:Female; D005500:Follow-Up Studies; D006627:Hirschsprung Disease / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D007582:Jejunostomy; D011859:Radiography; D013997:Time Factors