Abstract
During the past ten years, nine patients with aganglionic megacolon have been diagnosed. Patients ages ranged from 2 months to 5 years. 6 males and 3 females were treated. All patients have been observed from one to nine years.
Barium enema was commonly the first diagnostic procedure performed. After confirmatory rectal biopsy, Exploration was rou tiniy performed for biopsies of colonic wall to ensure the presence of ganglion celis at the praped site of colostomy. The chief aims of colostomy were to improve the status of mal neurished infants, to prevent the fatal complication of entero colitis and to ensure the anostomatic leaks. in all patients modification of SWENSON puli. through method were performed. Colostomy side were kept open during definitive procedure, to minimize the anostomatic leaks and it's fatal consequences.
in the early post operatif period one patient died as a result of anesthesia complication. in six patients excellent results and in two patients good results were obtained.
Keywords
References
- 1 — CLIFFOD, D. B, JONES R.L.: An evoluation of the Surgical Treatment of Hirschsprung disease, Surgical clinics of North America 1495 : 44, 1964
- 2 — DUHAMEL, B. : A New operation for the treatment of Hirschsprung's disease. Arch. Dis. Child 35 : 38, 1960
- 3 — EHRENPREIS, T.: Hirschprung's disease, Œ1icago, 1970, Year book medlcal publishers, inc.
- 4 — LYNN, H.B. : Rectal' myectomy for aganglionic megacolon, Mayo clin, proc. 41 : 289, 1966
- 5 — REHBEïN, F., AND VON ZIMMERMAN, H.: Results with abdominal resection in Hirschsprung disease Arch. Dis. child 35 : 29, 1960
- 6 — REHBEİN, F., MORGER, R, KUNDERT, J. G., and W. : Surgical problems in congenital megacolon, J. Pediatr. surg. 1: 526, 1966
- 7 — SATO MURA, K., KIMURA, C: A simplified endorectal pull-through operation for the treatment of Hirschsprung's disease, surgery 345 : 71, 1972
- 8 — SAN FLIPPO, A. J., JEWETT, C. T.: Definitive surgical management of Hirschspnung"s diseas, Arch. Sung. 245 : 105, 1972
- 9 — SOAVE, F. : Hirschsprung"s disease: clinical evoluation and details of personal tecnique, Z. Kinderchir. suppl 66, 1966
- 10 — SOAVE, F.: A new surgical tecnique for treatment of Hirsch sprung's disease. Surgery 56 : 1007, 1964
- 11 — STATE, D. : Segmental colon resection in treatment of congenital megacolon Amer. J. Surg. 105 : 93, 1963
- 12 — SWENSON, D.. BILL. A.H., Jr.: Resection of the rectum ana Rectosigmaid with prevention of sphincten for benign spastic lesions producing Megacolon, Surgery 24 : 212, 1948 teretomy and rectal myotomy in the Management of Hirschsprungs
- 13 —Thomas, C. G., BRCOM, C. A., and DE CONNtAK, Postexijor sphincteretomy and rectal Myotomy in the of Hirschspružng's disease, Ann. Surg. 171 : 796, 1970
- 14 —TOBON, F., RED, N.C.R.W. TALBERT, JL., SCHUSTER, M. M.: Nonsurgical test for the diagnosis of Hirschsprung's disease, N. England 5. Med. 278 : 188, 1968
Abstract
1964 - 1974 yılları arasında 9 konjenital megakolon vak'ası teşhis edildi. Hastaların yaşları 2 ay ile 5 yaş arasında değişmekteydi. 6 erkek ve 3 kız çocuğu idi. Hastaların hepsi 1 - 9 yıl takip edildi. ilk teşhis vasıtası olarak kolonun baryum lavmanlı kolon grafisi alındı. Çocuklarda teşhisin garantilenmesi için rektal biopsi yapıldı. Rutin olarak laparatomi yapılarak kolon duvarından alınan biopsiye göre kolostomi yapılacak bölgede ganglion hücresinin bulunup bulunmadığı tesbit edildi. Kolostominin başlıca gayesi beslenme bozukluğunun giderilmesi, enterokolit teşekkülünün önlenmesi ve yapılan anostomozun emniyet altına alınması idi.
9 vak'amızdan biri erken postoperatif devrede kaybedildi. Diğer 8 vak'amn 6 smda iyi, 2 sinde orta derecede sonuç alındı.
Keywords
References
- 1 — CLIFFOD, D. B, JONES R.L.: An evoluation of the Surgical Treatment of Hirschsprung disease, Surgical clinics of North America 1495 : 44, 1964
- 2 — DUHAMEL, B. : A New operation for the treatment of Hirschsprung's disease. Arch. Dis. Child 35 : 38, 1960
- 3 — EHRENPREIS, T.: Hirschprung's disease, Œ1icago, 1970, Year book medlcal publishers, inc.
- 4 — LYNN, H.B. : Rectal' myectomy for aganglionic megacolon, Mayo clin, proc. 41 : 289, 1966
- 5 — REHBEïN, F., AND VON ZIMMERMAN, H.: Results with abdominal resection in Hirschsprung disease Arch. Dis. child 35 : 29, 1960
- 6 — REHBEİN, F., MORGER, R, KUNDERT, J. G., and W. : Surgical problems in congenital megacolon, J. Pediatr. surg. 1: 526, 1966
- 7 — SATO MURA, K., KIMURA, C: A simplified endorectal pull-through operation for the treatment of Hirschsprung's disease, surgery 345 : 71, 1972
- 8 — SAN FLIPPO, A. J., JEWETT, C. T.: Definitive surgical management of Hirschspnung"s diseas, Arch. Sung. 245 : 105, 1972
- 9 — SOAVE, F. : Hirschsprung"s disease: clinical evoluation and details of personal tecnique, Z. Kinderchir. suppl 66, 1966
- 10 — SOAVE, F.: A new surgical tecnique for treatment of Hirsch sprung's disease. Surgery 56 : 1007, 1964
- 11 — STATE, D. : Segmental colon resection in treatment of congenital megacolon Amer. J. Surg. 105 : 93, 1963
- 12 — SWENSON, D.. BILL. A.H., Jr.: Resection of the rectum ana Rectosigmaid with prevention of sphincten for benign spastic lesions producing Megacolon, Surgery 24 : 212, 1948 teretomy and rectal myotomy in the Management of Hirschsprungs
- 13 —Thomas, C. G., BRCOM, C. A., and DE CONNtAK, Postexijor sphincteretomy and rectal Myotomy in the of Hirschspružng's disease, Ann. Surg. 171 : 796, 1970
- 14 —TOBON, F., RED, N.C.R.W. TALBERT, JL., SCHUSTER, M. M.: Nonsurgical test for the diagnosis of Hirschsprung's disease, N. England 5. Med. 278 : 188, 1968
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Gastroenterology Surgery |
| Journal Section | Research Article |
| Authors | |
| Publication Date | June 30, 1973 |
| IZ | https://izlik.org/JA59FW48DY |
| Published in Issue | Year 1973 Volume: 26 Issue: 2 |