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Excision of Rectal Stricture With End-to-End Anastomosis

Excision of Rectal Stricture With End-to-End Anastomosis Abstract OUT OF MORE than 300 patients with resections for Hirschsprung's disease, we had one patient, operated on early in our experience, who developed an impermeable stricture. Several operations have been performed on this boy, one of them a Kraske type resection of the stricture without relief.1 He now has an ileostomy which is functioning satisfactorily; he has not signified a desire to have another attempt made to resect his stricture. Methods During the past ten years, a number of patients have been sent to us with strictures following resections for Hirschsprung's disease. Initially we incised the stricture and, despite prolonged dilatation, the stricture recurred. We attempted to perform a Hochenegg type of operation which consists of freeing the bowel above the stricture, dilating the stricture, and passing the normal bowel down through, hoping that at a later date one could excise the redundant bowel and have a spontaneous anastomosis References 1. Kraske, P.: Zur Extirpation Lochsitzenden Mastdarmkrebse Verhandl , Deutsch Gesellsch Chir 14:464, 1885. 2. Hochenegg, J.: Betrage zur Chirurgie der Rectum und der Beckenorgand , Wien Klin Wschr 2: 515, 1889. 3. State, D.: Surgical Treatment of Idiopathic Congenital Megacolon (Hirschsprung's Disease) , Surg Gynec Obstet 95:203, 1952. 4. Swenson, O., and Idriss, F.: Surgical Treatment of Hirschsprung's Disease , Dis Colon Rectum 7(No. (6) ):451-454 (Nov-Dec) 1964.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Excision of Rectal Stricture With End-to-End Anastomosis

SWENSON, ORVAR; IDRISS, FAROUK S.
Archives of Surgery , Volume 93 (1) – Jul 1, 1966
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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1966.01330010056008
Publisher site
See Article on Publisher Site

Abstract

Abstract OUT OF MORE than 300 patients with resections for Hirschsprung's disease, we had one patient, operated on early in our experience, who developed an impermeable stricture. Several operations have been performed on this boy, one of them a Kraske type resection of the stricture without relief.1 He now has an ileostomy which is functioning satisfactorily; he has not signified a desire to have another attempt made to resect his stricture. Methods During the past ten years, a number of patients have been sent to us with strictures following resections for Hirschsprung's disease. Initially we incised the stricture and, despite prolonged dilatation, the stricture recurred. We attempted to perform a Hochenegg type of operation which consists of freeing the bowel above the stricture, dilating the stricture, and passing the normal bowel down through, hoping that at a later date one could excise the redundant bowel and have a spontaneous anastomosis References 1. Kraske, P.: Zur Extirpation Lochsitzenden Mastdarmkrebse Verhandl , Deutsch Gesellsch Chir 14:464, 1885. 2. Hochenegg, J.: Betrage zur Chirurgie der Rectum und der Beckenorgand , Wien Klin Wschr 2: 515, 1889. 3. State, D.: Surgical Treatment of Idiopathic Congenital Megacolon (Hirschsprung's Disease) , Surg Gynec Obstet 95:203, 1952. 4. Swenson, O., and Idriss, F.: Surgical Treatment of Hirschsprung's Disease , Dis Colon Rectum 7(No. (6) ):451-454 (Nov-Dec) 1964.Crossref

Journal

Archives of Surgery – American Medical Association

Published: Jul 1, 1966

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