Chronic fecal impaction in the megarectosigmoid. Therapeutic behavior.
Keywords:
colon, megacolon, Sigmoid DiseasesAbstract
Seven patients with megarectumsigma underwent
surgery for chronic faecal impaction, reviewing
clinical diagnosis, aetiology and medica!
and surgical management.
It is suggested medica! management of chronic
faecal impaction trying to achieve elective surgery.
The curative surgery should include the resection
of all pathologic bowel, but in Duhamel
procedure and its modifications distal rectal transection
should be at the peritoneal reflection. HabrGama
modification has shown to be technically
easier and it has been communicated good functional
results. Local unfavourable conditions may
be resol ve by staged surgery, which allows outline
definitive bowel reconstruction after functional assessment
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