Z-shaped anastomosis for the treatment of a benign rectosigmoid stricture.
A girl with malrotation underwent a Ladd's operation at 35 days of age and later had an adhesiotomy at 115 days of age. After the adhesiotomy, she suffered from sepsis and subsequent disseminated intravascular coagulation (DIC). At 178 days of age, she developed an intestinal obstruction because of a rectosigmoid stricture probably caused by DIC-associated ischemia. As a result, an ileostomy was performed. At one year, 4 months of age, she underwent a resection of the proximal part of the rectosigmoid stricture and a reconstruction by means of a Z-shaped anastomosis. Based on our experience, Z-shaped anastomosis appears to be an excellent treatment not only for Hirschsprung's disease but also for benign rectosigmoid stricture.
Furuichi
Akira
A
Department of Surgery II, Nagasaki University School of Medicine, Nagasaki, Japan.
Ohno
Yasuharu
Y
Hamada
Takayuki
T
Hirose
Ryuichiro
R
Kitano
Seigo
S
Kanematsu
Takashi
T
D000714:Anastomosis, Surgical; D012809:Colon, Sigmoid / Q000473:pathology / Q000601:surgery*; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D004211:Disseminated Intravascular Coagulation / Q000150:complications; D020345:Enterocolitis, Necrotizing / Q000150:complications; D005260:Female; D006801:Humans; D007081:Ileostomy; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D007415:Intestinal Obstruction / Q000209:etiology; D007422:Intestines / Q000002:abnormalities*; D007511:Ischemia / Q000209:etiology; D007579:Jejunal Diseases / Q000209:etiology; D011183:Postoperative Complications; D012007:Rectum / Q000473:pathology / Q000601:surgery*; D018805:Sepsis / Q000209:etiology; D000267:Tissue Adhesions / Q000601:surgery