Ponticelli A, Todde G, Menichella P, Spagnoli A, Dall'Oglio L, Boldrini R, Rivosecchi M
Pediatr Med Chir. 1986 Nov-Dec;8(6):895-8.
The authors report 6 cases of colonic stenosis (three males and three females, range of age 9 days-4 months) observed from 1982 to 1985 in the Department of Pediatric Surgery in Bambino Gesù Hospital. Three out of six have been admitted with the diagnosis of necrotizing enterocolitis soon after birth. The authors have observed 2 cases of colonic stenosis in neonatal age, 1 case aged month, both suffering from Hirschsprung's disease. A file for the diagnosis has been performed for all patients. Stenosis have been observed in the descending colon, sigmoid colon, rectosigmoid tract, multiple stenosis were present in 2 patients. In 5 patients the surgical treatment has been the removal of stenotic tract. In three patients a colostomy on transverse colon has been performed followed by abdominal perineal intestinal lowering. The authors stress the importance of anorectal manometry among investigations usually performed to exclude Hirschsprung's disease.
作者报告了1982年至1985年期间在罗马儿童医院小儿外科观察到的6例结肠狭窄病例（3例男性，3例女性，年龄范围为9天至4个月）。6例中有3例在出生后不久被诊断为坏死性小肠结肠炎而入院。作者观察到2例新生儿期结肠狭窄，1例1个月大，均患有先天性巨结肠症。对所有患者都进行了诊断性检查。狭窄部位见于降结肠、乙状结肠、直肠乙状结肠段，2例患者存在多处狭窄。5例患者接受了手术治疗，切除狭窄段。3例患者进行了横结肠造口术，随后行腹会阴直肠拖出术。作者强调在通常进行的排除先天性巨结肠症的检查中，直肠肛管测压的重要性。
