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Surgery for Acquired Megacolon

Surgery for Acquired Megacolon Abstract MEGACOLON has various causes. Nevertheless, when the term megacolon is used, it is often taken to mean only Hirschsprung's disease, or aganglionic megacolon. Actually the type of megacolon with ganglia present occurs often enough to have more consideration. In some reports this type outnumbers the aganglionic type.1 Megacolon can be classified into three types: (1) aganglionic megacolon (Hirschsprung's disease). The megacolon seen in South America associated with Chagas' disease belongs in this category because the number of myenteric ganglia are greatly reduced in this disease. (2) Acquired megacolon, also called functional megacolon, idiopathic megacolon, psychogenic megacolon, colon inertia, and pseudomegacolon. (3) Megacolon caused by organic obstruction as seen with imperforate anus, tumor, or stricture. This report is concerned mainly with acquired megacolon. It is written to show that, although many medical and surgical textbooks2,3 and other recent publications1,4,5 on the subject advise nonoperative management of acquired megacolon, References 1. Todd, I.P., et al: Discussion of Megacolon and Megarectum With Emphasis on Conditions Other Than Hirschsprung's Disease , Proc Roy Soc Med 54:1035-1056 ( (Dec) ) 1961. 2. Mendeloff, A.I.: " Diseases of the Colon and Rectum " in Harrison, T. R., et al: Principles of Internal Medicine , ed 4, New York: McGraw-Hill Book Company, Inc., 1962. 3. Raffensperger, E.C.: " Megacolon " in Bockus, H.L.: Gastroenterology , ed 2, Philadelphia: W. B. Saunders Co., 1964, chap 64, pp 647-669. 4. Hallenbeck, G.A.: The Diagnosis of Aganglionic Disease of the Bowel (Hirschsprung's Disease) , Surg Clin N Amer 41:935-950 ( (Aug) ) 1961. 5. Lee, C.M., and Bebb, K.C.: The Pathogenesis and Clinical Management of Megacolon With Emphasis on the Fallacy of the Term "Idiopathic," Surgery 30:1026-1048 ( (Dec) ) 1951. 6. Ehrenthiel, O.F., and Wells, M.D.: Megacolon in Psychotic Patients , Gastroenterology 29:285-294 ( (Aug) ) 1955. 7. Swenson, O.: " Hirschsprung's Disease in Older Infants and Children " in Pediatric Surgery , New York: Appleton-Century-Crofts, Inc., 1958, p 388. 8. Hallenbeck, G.A., and Waugh, J.M.: The Surgical Treatment of Megacolon , Surg Clin N Amer 32:1203-1215 ( (Aug) ) 1952. 9. Netto, A.C., et al: Etiology, Pathogenesis, and Treatment of Acquired Megacolon , Surg Gynec Osbtet 114:602-608 ( (May) ) 1962. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Surgery for Acquired Megacolon

Archives of Surgery , Volume 92 (5) – May 1, 1966

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Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1966.01320230072013
Publisher site
See Article on Publisher Site

Abstract

Abstract MEGACOLON has various causes. Nevertheless, when the term megacolon is used, it is often taken to mean only Hirschsprung's disease, or aganglionic megacolon. Actually the type of megacolon with ganglia present occurs often enough to have more consideration. In some reports this type outnumbers the aganglionic type.1 Megacolon can be classified into three types: (1) aganglionic megacolon (Hirschsprung's disease). The megacolon seen in South America associated with Chagas' disease belongs in this category because the number of myenteric ganglia are greatly reduced in this disease. (2) Acquired megacolon, also called functional megacolon, idiopathic megacolon, psychogenic megacolon, colon inertia, and pseudomegacolon. (3) Megacolon caused by organic obstruction as seen with imperforate anus, tumor, or stricture. This report is concerned mainly with acquired megacolon. It is written to show that, although many medical and surgical textbooks2,3 and other recent publications1,4,5 on the subject advise nonoperative management of acquired megacolon, References 1. Todd, I.P., et al: Discussion of Megacolon and Megarectum With Emphasis on Conditions Other Than Hirschsprung's Disease , Proc Roy Soc Med 54:1035-1056 ( (Dec) ) 1961. 2. Mendeloff, A.I.: " Diseases of the Colon and Rectum " in Harrison, T. R., et al: Principles of Internal Medicine , ed 4, New York: McGraw-Hill Book Company, Inc., 1962. 3. Raffensperger, E.C.: " Megacolon " in Bockus, H.L.: Gastroenterology , ed 2, Philadelphia: W. B. Saunders Co., 1964, chap 64, pp 647-669. 4. Hallenbeck, G.A.: The Diagnosis of Aganglionic Disease of the Bowel (Hirschsprung's Disease) , Surg Clin N Amer 41:935-950 ( (Aug) ) 1961. 5. Lee, C.M., and Bebb, K.C.: The Pathogenesis and Clinical Management of Megacolon With Emphasis on the Fallacy of the Term "Idiopathic," Surgery 30:1026-1048 ( (Dec) ) 1951. 6. Ehrenthiel, O.F., and Wells, M.D.: Megacolon in Psychotic Patients , Gastroenterology 29:285-294 ( (Aug) ) 1955. 7. Swenson, O.: " Hirschsprung's Disease in Older Infants and Children " in Pediatric Surgery , New York: Appleton-Century-Crofts, Inc., 1958, p 388. 8. Hallenbeck, G.A., and Waugh, J.M.: The Surgical Treatment of Megacolon , Surg Clin N Amer 32:1203-1215 ( (Aug) ) 1952. 9. Netto, A.C., et al: Etiology, Pathogenesis, and Treatment of Acquired Megacolon , Surg Gynec Osbtet 114:602-608 ( (May) ) 1962.

Journal

Archives of SurgeryAmerican Medical Association

Published: May 1, 1966

References