Preservation of the ileocecal valve and right colon in total colonic aganglionosis.

Abstract:

:A new surgical technique for the treatment of total colonic aganglionosis is described. Preservation of the right colon and the ileocecal valve is possible by performing an end-to-back anastomosis between a prececal short ileum segment and the uneffected ileum, and by creating a side-to-side anastomosis between an isolated ileal loop and the right colon. The ileorectal anastomosis is performed with a curved EEA 21 circular stapler (USSC, Norwalk, CT). After a neonatal ileostomy, the operation is performed as a one-stage procedure. The advantage of preserving the right colon and the ileocecal valve is discussed.

journal_name

J Pediatr Surg

authors

Sauer H,Fasching G

doi

10.1016/0022-3468(93)90128-8

subject

Has Abstract

pub_date

1993-12-01 00:00:00

pages

1640-3

issue

12

eissn

0022-3468

issn

1531-5037

pii

0022-3468(93)90128-8

journal_volume

28

pub_type

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