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Treatment of total colonic aganglionosis by a modified Martin procedure--a preliminary report
E U Ajuluchuku1, M Khalil, J A Onoja
1Department of Surgery, College of Medical Sciences, University of Maiduguri Teaching Hospital, University of Maiduguri, Borno State, Nigeria.
Abstract:
We report on a case of total colonic aganglionosis successfully treated by a modified Martin procedure under the specific environmental circumstances of a developing country. The single-approach procedure comprises a preservation of the ileocaecal valve and a long ileum patch for the remaining colon and rectum after left hemicolectomy with the advantage of restitution of normal stool habits due to enhanced absorption function of the remaining colon.