Key words: Chagas disease. Fecaloma. Megacolon. Surgical treatment. Palabras clave: Enfermedad de Chagas. Megacolon. Fecaloma. Tratamiento quirúrgico. Diagnóstico y tratamiento de la enfermedad inflamatoria intestinal: Primer . bolsa, anastomosis íleo-anal, pouchitis, complicaciones, megacolon tóxico y. JARAMILLO BARBERI, Lina Eugenia. Proposed Recommendations and Guidelines for Diagnosis of Hirschsprung’s Disease in Mucosal and Submucosal .
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A new surgical method for the treatment of chagasic megacolon. Cleansing enemas are effective and fibrocolonoscopy was normal.
Principles and practice of surgery for the colon, rectum and anus. Chagas disease in the differential diagnosis of megacolon. Enterocolitis, constipation and fecal incontinence represent the main postoperative complications hirschsprungg children.
Enfermedad de Hirschsprung
Hirschsprung’s disease; Congenital megacolon; Fecal incontinence. Cutait DE, Cutait R. With diagnostic methods already established in the literature, the sole treatment is surgery.
Dis Colon Rectum ; However, post-operative bowel functioning is not always satisfactory. Therefore, fecal incontinence can hirschssprung emotional disturbances to patients, with subsequent relationship problems at school enfermevad with their own families.
The other is the Habr-Gama technique that causes the posterior colorectal anastomosis, immediately, with acceptable results 8. Clinical case Female patient, diagnstico years old, coming from Campo Grande – MS, reports that since birth had intestinal constipation, with mean bowel movements at every days with hardened feces, being followed-up by a pediatrician and in treatment for functional constipation. Subsequently, new variations have been postulated as the rectosigmoidectomy with ileal interposition, with good results and decreased recurrence 9, Some cases involve gene mutations for endothelin-B receptor.
For our patient, fecal incontinence is a more limiting symptom than the constipation itself, because the girl was living in constant fear of occurrence of such fact in environments like her school, which would cause great embarrassment before other people.
Rev Argent Resid Cir. Case Reports Late diagnosis of Hirschsprung’s disease. The diagnosis of HD is supported by barium enema studies, anorectal manometry and rectal biopsy. Case report We report a case of a patient 41 years old, from Argentina, who went to the emergency room with abdominal pain and constipation.
Enfermedad de Hirschsprung (para Padres)
Treatment of megacolon secondary to CHD should be to prevent surgical complications. Gastrointestinal manifestations of Chagas’ disease. Hirschsprung’s Disease HDalso known as congenital aganglionic megacolon, is an anomaly characterized by an absence of ganglion cells in the myenteric and submucosal ce in a variable bowel segment. Enfermedad de Hirschsprung en el adulto.
A hypothesis of HD was proposed; thus an anorectal manometry was asked, but its result was inconclusive due to patient’s lack of cooperation. The blood test with tumor markers was normal and an abdominal CT objectived fecal and recto-sigmoid colon dilation Fig.
Critical analysis of outcome in operative methods. Surgical treatment of Chagasic Megacolon: Como citar este artigo. HD presents itself by symptoms of constipation, such as a greater than h delay in hirschspruung of meconium, abdominal distention and vomiting. In this latter case, HD may affect the entire colon and even the small intestine.
Gordon PH, Nivatvongs S. Enfermedad de Hirschsprung en adultos. The CHD has three phases: HD occurs in approximately 1 in live births. Discussion HD is a congenital anomaly that occurs due to a discontinuation of the hhirschsprung migration of disgnostico crest cells, which are responsible for innervation of the colon, or when the ganglion cells undergo premature death between 5th and 12th weeks of pregnancy.
Our patient had a history of long-standing bowel constipation, progressing to fecal incontinence. Acta Cir Bras ;23 suppl,1: