مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

video

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

sound

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Persian Version

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

View:

256
مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Download:

110
مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Cites:

Information Journal Paper

Title

LONG-SEGMENT AGANGLIONOSIS: A 15 – YEAR EXPERIENCE

Pages

  71-74

Abstract

 To access the surgical progress of patients with long segment aganglionosis and long-term evaluation. During the past 15 years, we reviewed the therapy and outcome of 15 patients with LONG-SEGMENT AGANGELIONOSIS (LSA) in Mofid children's hospital. 2 with Agangelionosis to the midtransvers colon (MTA), 8 to the ascendant and cecum (A/CA), 4 with total colonic and distal ileum involvement (TCA), and one child with total intestinal Agangelionosis (TIA). The patient with TIA had only laparatomy and staged biopsies. 12were treated by Swenson technique and 2 patients by other procedures. All patients received total parenteral nutrition up to 10 days postoperative to ensure appropriate fluid and electrolyte status. The patients with TCA needed supplementary therapies (Diet, Drugs) up to 4 months to reduce the stool frequency. 2 patients died. The patient with TIA died 6 months after Biopsies. Another one died 5 months after pull-through: small bowel ileus with total intestinal necrosis. 9 Of the 13 alive patients have normal stool pattern: 1-3 times per day. 2 patients have 3-6 stools per day with 1-2 soiling per week. An adolescent patient has occasionall  nightly soiling (1- 2 per month). No actual data about one patient (A/CA). One TCA patient doing well immediately postoperative becomes obstipated 3 months later (after having Entrocolitis). He had washout enemas for 9 months. Now stools regularly. Awareness of LONG-SEGMENT AGANGELIONOSIS should lead to earlier diagnosis. Appropriate surgery and improvements in supportive care led to a significantly increased rate of survival. Patients with LSA even involving ileum (but no more than 50 cm of ileum) should attain a normal stooling behavior. Long-term outcome is quite favorable.

Cites

  • No record.

    • References

  • No record.

    • Cite

    APA: Copy

    MIRSHEMIRANI, A.R., SADEGHIAN, S., & KOURANLOU, J.. (2009). LONG-SEGMENT AGANGLIONOSIS: A 15 – YEAR EXPERIENCE. ACTA MEDICA IRANICA, 47(1), 71-74. SID. https://sid.ir/paper/278180/en

    Vancouver: Copy

    MIRSHEMIRANI A.R., SADEGHIAN S., KOURANLOU J.. LONG-SEGMENT AGANGLIONOSIS: A 15 – YEAR EXPERIENCE. ACTA MEDICA IRANICA[Internet]. 2009;47(1):71-74. Available from: https://sid.ir/paper/278180/en

    IEEE: Copy

    A.R. MIRSHEMIRANI, S. SADEGHIAN, and J. KOURANLOU, “LONG-SEGMENT AGANGLIONOSIS: A 15 – YEAR EXPERIENCE,” ACTA MEDICA IRANICA, vol. 47, no. 1, pp. 71–74, 2009, [Online]. Available: https://sid.ir/paper/278180/en

    Related Journal Papers

  • No record.

    • Related Seminar Papers

  • No record.

    • Related Plans

  • No record.

    • Recommended Workshops






    Move to top
    telegram sharing button
    whatsapp sharing button
    linkedin sharing button
    twitter sharing button
    email sharing button
    email sharing button
    email sharing button
    sharethis sharing button