Coloplasty for congenital short colon.
Seventy-two patients with complete short colon (CSC) were treated at the authors' institution between 1971 and 1994. Initially, one-stage coloplasty with abdominoperineal pull-through was performed in 10 neonates, with a 50% survival rate. The subsequent 62 patients had staged management in which a window colostomy was performed at the time of presentation. Of the 50 survivors in this group, 20 had coloplasty with a abdominoperineal or sacroabdominoperineal pull-through by June 1994. A protective ileostomy was done at the time of coloplasty in 10 patients, and was closed 6 to 12 weeks later. Two of the 20 patients who had staged reconstruction died because of complications; the others recovered well. The overall survival rate after coloplasty was 76.7%. Eighteen of the 23 survivors have had follow-up for up to 8 years. They have shown normal growth and good continence and have been free of significant long-term complications. The other 30 patients are awaiting definitive surgery. A staged management plan is advocated for complete short colon because it provides consistent results and good quality of life.
Wakhlu
A K
AK
Department of Surgical Sciences, King George's Medical College, Lucknow, India.
Pandey
A
A
Wakhlu
A
A
Tandon
R K
RK
Kureel
S N
SN
D001006:Anus, Imperforate / Q000150:complications / Q000601:surgery*; D003108:Colonic Diseases / Q000151:congenital / Q000601:surgery*; D003125:Colostomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007081:Ileostomy; D007223:Infant; D007231:Infant, Newborn; D007412:Intestinal Fistula / Q000151:congenital / Q000601:surgery*; D008297:Male; D016019:Survival Analysis; D013536:Suture Techniques; D013577:Syndrome; D001747:Urinary Bladder Fistula / Q000151:congenital / Q000601:surgery*