Ileocecal interposition for Hirschsprung's disease: a case report.
An ileocecal interposition (ICI) between the descending colon and anus was performed in a girl, 14 months old, with congenital aganglionosis up to the sigmoid colon. The left colon could not safely be mobilised because the paracolic arcade had been interupted during a preceding colostomy construction. The functional result, 14 years after reconstruction, is excellent: 1-2 easy defecations per day with normal continence for flatus and stool. An ICI may be an appropriate rescue procedure, saving a maximum length of normally innervated bowel and providing a neorecta1 reservoir.
Penninckx
F
F
UZ Gasthuisberg - Abdominal Surgery, Leuven, Belgium. freddy.penninckx@uz.kuleuven.ac.be
Van den Eynde
W
W
D'Hoore
A
A
Miserez
M
M
D012809:Colon, Sigmoid / Q000601:surgery; D003125:Colostomy; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004733:Enema; D005260:Female; D006627:Hirschsprung Disease / Q000601:surgery*; D006801:Humans; D007223:Infant; D012007:Rectum / Q000601:surgery