Early definitive surgery for total colon aganglionosis: Duhamel procedure with right colon patch graft using GIA stapler.
A report is presented of an infant with total colon aganglionosis (TCA) with ileal involvement in whom a modified Duhamel procedure was used accompanied by a right colon patch graft 12 cm in length using a GIA-90 stapler at 3 months of age. The patient with TCA is usually treated by an initial diverting ileostomy followed by a definitive operation performed several months later. However, the management during the ileostomy period is associated with a variety of problems. In to minimize the resulting complications, we developed a procedure to allow a much earlier definitive operation.
Second Department of Surgery, Yamagata University School of Medicine, 2-2-2 Iida-nishi, 990-23, Yamagata, Japan.
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I
Yamagiwa
K
K
Obata
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M
Kohi