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[Total colonic aganglionism (author's transl)].

J G Utrilla, L Cortés, J Monereo

    Anales Espanoles De Pediatria
    |May 1, 1979
    PubMed
    Summary

    Total colonic aganglionosis, a severe condition, requires careful diagnosis. A modified Duhamel-Lester Martin technique offers a promising definitive treatment option for newborns with this condition.

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    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Medical Genetics

    Background:

    • Total colonic aganglionosis is the most common form of extensive aganglionosis.
    • Diagnosis can be challenging, often considered alongside conditions like Hirschsprung disease or ileal atresia.
    • This study reviews a series of cases and a novel surgical approach.

    Purpose of the Study:

    • To report on cases of total colonic aganglionosis.
    • To evaluate a modified Duhamel-Lester Martin technique for definitive treatment.
    • To compare the long-term outcomes of different surgical techniques.

    Main Methods:

    • Retrospective review of 319 cases of aganglionosis between 1957 and 1977.
    • Analysis of nine cases with total colonic aganglionosis.
    • Surgical intervention using a modified Duhamel-Lester Martin technique in three cases.

    Main Results:

    • Ileostomy can be a life-saving initial measure.
    • The modified Duhamel-Lester Martin technique was performed as a primary operation in newborns.
    • Long-term results of the modified technique were compared with other established methods.

    Conclusions:

    • Total colonic aganglionosis necessitates a high index of suspicion during diagnosis.
    • The modified Duhamel-Lester Martin technique is a viable and effective primary surgical option for newborns.
    • This approach offers favorable long-term outcomes for patients with extensive aganglionosis.

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