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CONGENITAL AGANGLIONIC MEGACOLON

CONGENITAL AGANGLIONIC MEGACOLON CONGENITAL megacolon was recognized as a clinical entity in 1887, following Hirschsprung's comprehensive analysis of two patients with this disease. Up until a few years ago the term "Hirschsprung's disease" had been used to describe enlargement of the colon in those patients not having demonstrable organic cause for their megacolon. In 1920 the first comprehensive study of the ganglion cells of a colon from a patient with Hirschsprung's disease was made by Dalla Valle. He reported the absence of ganglion cells in the narrowed segment of bowel distal to the dilated colon. In 1949 Neuhauser described a technique of barium-enema examination for demonstrating the narrowed, aganglionic segment. Following this noteworthy contribution, Swenson described an operative technique for removal of the abnormal segment and restoration of the continuity of the bowel with preservation of the anal sphincters. In this exhibit, special emphasis is directed to the variations in the roentgenographic appearances http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American journal of diseases of children American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1955 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0096-8994
eISSN
1538-3628
DOI
10.1001/archpedi.1955.04030010718013
Publisher site
See Article on Publisher Site

Abstract

CONGENITAL megacolon was recognized as a clinical entity in 1887, following Hirschsprung's comprehensive analysis of two patients with this disease. Up until a few years ago the term "Hirschsprung's disease" had been used to describe enlargement of the colon in those patients not having demonstrable organic cause for their megacolon. In 1920 the first comprehensive study of the ganglion cells of a colon from a patient with Hirschsprung's disease was made by Dalla Valle. He reported the absence of ganglion cells in the narrowed segment of bowel distal to the dilated colon. In 1949 Neuhauser described a technique of barium-enema examination for demonstrating the narrowed, aganglionic segment. Following this noteworthy contribution, Swenson described an operative technique for removal of the abnormal segment and restoration of the continuity of the bowel with preservation of the anal sphincters. In this exhibit, special emphasis is directed to the variations in the roentgenographic appearances

Journal

American journal of diseases of childrenAmerican Medical Association

Published: Dec 1, 1955

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