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KMID : 0377619750290060623
Korean Jungang Medical Journal
1975 Volume.29 No. 6 p.623 ~ p.627
Congenital Megacolon of Adult - Soave Procedures -
ì°ã­òå/Lee, Seung Jin
ÚÓãæìé/ì°÷Áý¹/ÚÓÌÈòå/Park, Shin II/Lee, Tae Hun/Park, Kyung Jin
Abstract
Two typical cases of Hirschsprung¢¥s disease in a 13 year old boy and 23 year old adult who were admitted to Dept. of surgery, Korea University and treated by Soave procedure is reported.
In the adult the signs and symptoms of mechanical obstruction of the small intestine and Hirschsprung¢¥s disease are virtually identical.
Unnecessary exploration of adult with Hirschsprung¢¥s disease with mistaken dia¡þgnosis of obstruction of the small intestine can be avoided by a barium enema examination.
Rectal biopsy offers the only way of making an accurate diagnosis of Hirschprung¢¥s disease.
Recommended emergency treatment consists of colostomy as soon as diagnosis is established.
Experience with the Soave intramural anocolostomy procedure has demonstrated that it is a safe land effective surgical treatment for Hirschprung¢¥s disease. A review of the literature in regard to cause and treatment of congenital megacolon is made.
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