PMID: 3746597Aug 1, 1986Paper

Extensive intestinal aganglionosis including the ileum: a new surgical technique

Journal of Pediatric Surgery
G Stringel

Abstract

Extensive aganglionosis including the ileum occurs in less than 5% of children with Hirschsprung's disease; in these cases nutrition, fluid, and electrolyte balance are a problem. The author reports an infant with extensive aganglionosis including the ileum in whom an endorectal pull-through of the Soave type as modified by Boley was performed with a longitudinal side-to-side anastomosis between the aganglionic and normal intestine, preserving terminal ileum and ileocecal valve. At two and one-half years of age the infant is well. He is toilet trained and has 1 to 4 soft bowel movements per day as he is in the 50th percentile for weight. When extensive aganglionosis involves the small intestine, saving the important function of the terminal ileum and the ileocecal valve is possible and highly desirable.

References

Jun 1, 1976·Journal of Pediatric Surgery·J D Burrington, E R Wayne
Oct 1, 1969·Journal of Pediatric Surgery·A G CoranO Knutrud
Dec 1, 1981·Journal of Pediatric Surgery·K KimuraY Matsumoto

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Citations

Feb 1, 1991·International Journal of Colorectal Disease·C M Doig
Aug 12, 2009·Pediatric Surgery International·Elke Ruttenstock, Prem Puri
Oct 1, 1994·Journal of Pediatric Surgery·M EndoJ Yokoyama
Mar 14, 1998·Journal of Pediatric Surgery·E NishijimaT Muraji
May 1, 1996·Current Problems in Surgery·M A Skinner

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