Congenital pouch colon: Massive redilatation of the tubularized colonic pouch after pull-through surgery
| Autor: | Rajiv Chadha, S Gupta, Alpana Prasad, Deepak Bagga |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Male
medicine.medical_specialty Colon medicine.medical_treatment Ileum Anastomosis Anus Imperforate Postoperative Complications medicine Humans Child Enterocolitis business.industry General Medicine medicine.disease Marsupialization digestive system diseases Surgery Radiography medicine.anatomical_structure Child Preschool Pediatrics Perinatology and Child Health Colonic Pouches medicine.symptom Pouch Imperforate anus business Anal stricture |
| Zdroj: | Journal of Pediatric Surgery. 37:1376-1379 |
| ISSN: | 0022-3468 |
| Popis: | Background/Purpose: Children with a type I/II congenital pouch colon (CPC) malformation associated with imperforate anus usually are treated by subtotal excision of the colonic pouch, tubularization of the remaining portion, and pull-through of the tubularized colon during definitive surgery. The authors report 3 patients treated in this fashion who presented 2 to 10½ years later with massive redilatation of the previously tubularized colon and enterocolitis Methods: There were no anal strictures or malpositioning of the pulled through bowel. Contrast enema showed massive redilatation of the colonic pouch. Near-total excision of the redilated pouch with anastomosis of normal proximal ileum/colon with the retained distal portion of the pouch was performed by the abdominal approach. Results: Anastomotic leaks occurred in 2 patients but were treated successfully. Postoperatively, the patients had relief from their abdominal symptoms and improvement in fecal continence. Conclusions: The colonic pouch in CPC has a marked tendency to undergo redilatation, even after tubularization. The surgical procedure described here for the treatment of these patients appears to be satisfactory. J Pediatr Surg 37:1376-1379. Copyright 2002, Elsevier Science (USA). All rights reserved. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect