Preservation of the ileocecal valve and right colon in total colonic aganglionosis.
A new surgical technique for the treatment of total colonic aganglionosis is described. Preservation of the right colon and the ileocecal valve is possible by performing an end-to-back anastomosis between a prececal short ileum segment and the uneffected ileum, and by creating a side-to-side anastomosis between an isolated ileal loop and the right colon. The ileorectal anastomosis is performed with a curved EEA 21 circular stapler (USSC, Norwalk, CT). After a neonatal ileostomy, the operation is performed as a one-stage procedure. The advantage of preserving the right colon and the ileocecal valve is discussed.
Sauer
H
H
Department of Pediatric Surgery, University of Graz Medical School, Austria.
Fasching
G
G
D000714:Anastomosis, Surgical / Q000379:methods; D003106:Colon / Q000601:surgery*; D006627:Hirschsprung Disease / Q000601:surgery*; D006801:Humans; D007080:Ileocecal Valve; D007081:Ileostomy; D007082:Ileum / Q000601:surgery*; D007231:Infant, Newborn; D008297:Male; D017792:Surgical Stapling