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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
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Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

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Related Experiment Video

Updated: Jul 7, 2026

Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.5
05:45

Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.5

Published on: April 26, 2019

Ileocecal interposition for Hirschsprung's disease: a case report.

F Penninckx1, W Van den Eynde, A D'Hoore

  • 1UZ Gasthuisberg - Abdominal Surgery, Leuven, Belgium. freddy.penninckx@uz.kuleuven.ac.be

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|February 26, 2008
PubMed
Summary

Ileocecal interposition (ICI) is an effective rescue surgery for complex Hirschsprung disease when standard approaches fail. This technique preserves bowel length and creates a functional neorectal reservoir, yielding excellent long-term results.

More Related Videos

Murine Ileocolic Bowel Resection with Primary Anastomosis
08:49

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

Related Experiment Videos

Last Updated: Jul 7, 2026

Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.5
05:45

Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.5

Published on: April 26, 2019

Murine Ileocolic Bowel Resection with Primary Anastomosis
08:49

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Colorectal Surgery

Background:

  • Congenital aganglionosis, or Hirschsprung disease, affects the colon's nerve supply, leading to functional obstruction.
  • Standard surgical treatments may be challenging in cases with extensive aganglionosis or prior surgical interventions like colostomy.
  • The interruption of the paracolic arcade during prior colostomy construction complicated the surgical approach in this case.

Observation:

  • A 14-month-old girl with congenital aganglionosis up to the sigmoid colon underwent an ileocecal interposition (ICI).
  • The left colon could not be mobilized due to a compromised paracolic arcade from a previous colostomy.
  • The patient had a history of a preceding colostomy construction.

Findings:

  • The ileocecal interposition (ICI) procedure was performed as a rescue intervention.
  • Fourteen years post-reconstruction, the patient exhibited excellent functional outcomes.
  • Daily bowel movements were 1-2, with normal continence for flatus and stool.

Implications:

  • Ileocecal interposition (ICI) serves as a viable rescue procedure for complex cases of Hirschsprung disease.
  • This technique maximizes the use of normally innervated bowel, preserving functional length.
  • ICI creates a neorectal reservoir, contributing to successful long-term functional results and improved quality of life.