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因先天性巨结肠合并小肠结肠炎行全结肠切除术后行直肠乙状结肠肌切开术并回肠吻合术:病例报告及文献复习

Anorectal sigmoid myotomy with ileal anastomosis after subtotal colectomy due to Hirschsprung's enterocolitis: case report and review of the literature.

作者信息

Ortiz V N, Bolaños G, Durán N, Ortiz A N

机构信息

Department of Surgery, Mayagüez Medical Center, Puerto Rico, USA.

出版信息

Bol Asoc Med P R. 1995 Oct-Dec;87(10-12):162-3.

PMID:8924159
Abstract

We presented a one year old seven months old patients that had undergone a double barreled proximal ileostomy-sigmoidostomy after resection of most of the ileum, ascending, transverse and descending colon due to Hirschsprung's enterocolitis; that was admitted for anorectal-sigmoid myotomy and ileosigmoidostomy. The advantages of Kasai's procedure (anorectal myotomy with coloanal anastomosis) over the pull-through procedures to treat Hirschsprung's disease are discussed along with the more pertinent literature.

摘要

我们介绍了一名一岁七个月大的患者,该患者因先天性巨结肠性小肠结肠炎,在切除大部分回肠、升结肠、横结肠和降结肠后,接受了双管近端回肠造口术-乙状结肠造口术;该患者因肛门直肠-乙状结肠肌切开术和回肠乙状结肠吻合术入院。文中结合更相关的文献,讨论了Kasai手术(肛门直肠肌切开术并结肠肛管吻合术)相对于治疗先天性巨结肠症的拖出术的优势。

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