Tuszewski M, Kiersz A, Góral R, Szmeja A
Kliniki Chirurgii Ogólnej i Gastroenterologicznej Instytutu Chirurgii, Poznaniu.
Pol Tyg Lek. 1991;46(45-47):882-5.
The authors discuss own experience in diagnosis and surgical treatment of 32 patients with idiopathic megacolon. Three surgical techniques were compared: 1) partial excision of the colon, 2) nearly complete excision of the colon with cecum-rectal anastomosis, and 3) total colectomy with ileorectal anastomosis. Basing on the authors' own experience and available literature the third approach is recommended as the most appropriate in the treatment of the persistent, chronic constipation accompanying idiopathic megacolon.
作者讨论了对32例特发性巨结肠患者进行诊断和手术治疗的自身经验。比较了三种手术技术：1）结肠部分切除术；2）结肠近全切除术并盲肠直肠吻合术；3）全结肠切除术并回肠直肠吻合术。根据作者自身经验和现有文献，推荐第三种方法作为治疗特发性巨结肠伴持续性慢性便秘的最合适方法。
