Excision of Rectal Stricture With End-to-End Anastomosis

Arch Surg. 1966;93(1):54-58. doi:10.1001/archsurg.1966.01330010056008.
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OUT OF MORE than 300 patients with resections for Hirschsprung's disease, we had one patient, operated on early in our experience, who developed an impermeable stricture. Several operations have been performed on this boy, one of them a Kraske type resection of the stricture without relief.1 He now has an ileostomy which is functioning satisfactorily; he has not signified a desire to have another attempt made to resect his stricture.

Methods  During the past ten years, a number of patients have been sent to us with strictures following resections for Hirschsprung's disease. Initially we incised the stricture and, despite prolonged dilatation, the stricture recurred. We attempted to perform a Hochenegg type of operation which consists of freeing the bowel above the stricture, dilating the stricture, and passing the normal bowel down through, hoping that at a later date one could excise the redundant bowel and have a spontaneous anastomosis


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