MedicineSurgeryBowel ManagementGastroenterologyGeneral SurgeryAbdominal SurgeryColorectal SurgeryGastrointestinal SurgeryIntestinal ObstructionSmall Intestine DisordersColon AnatomyIntestinal AnastomosisIntestinal ResectionOperative MorbidityOperative TechniqueOperative TreatmentSmall Bowel SurgerySmall Intestine Anatomy
Aganglionosis of the entire colon with or without involvement of the small intestine presents special problems in operative management. A new operation is described herein combining the technique of the endorectal pull-through and primary anastomosis with the creation of a reservoir made up of aganglionic right colon and ganglionic small intestine. Decreased fecal fluid and electrolyte losses, and minimization of residual internal sphincter obstruction are advantages of this operation.