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A NEW APPROACH TO TOTAL COLONIC AGANGLIONOSIS
Author(s) -
Narasimharao K. L.,
Pathak I. C.,
Mitra S. K.
Publication year - 1983
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1983.tb02507.x
Subject(s) - medicine , ileostomy , anastomosis , surgery , general surgery
Two babies with total colonic aganglionosis treated by a modified Martin‐Duhamel procedure are described. Ileostomy, long side‐to‐side ileocolic anastomosis and Duhamel's pull‐through were the sequence of steps in this staged management. Neonatal ileostomy followed by ileocoioplasty proximal to the ileostomy facilitates home management of the new born patient who then produces well formed stools. This approach avoids neonatal pull‐through and obviates the need for parenteral alimentation.