Ortiz V N, Bolaños G, Durán N, Ortiz A N
Department of Surgery, Mayagüez Medical Center, Puerto Rico, USA.
Bol Asoc Med P R. 1995 Oct-Dec;87(10-12):162-3.
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.
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。