PEDIATRICS Vol. 4 No. 2 August 1949, pp. 201-209
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NEW CONCEPTS OF THE ETIOLOGY, DIAGNOSIS AND TREATMENT OF CONGENITAL MEGACOLON (HIRSCHSPRUNG'S DISEASE)

ORVAR SWENSON M.D.1, EDWARD B. D. NEUHAUSER M.D.2, and LAWRENCE K. PICKETT M.D.3

1 The Surgical and Radiological Services of the Children's Hospital
2 The Department of Surgery of the Harvard Medical School, Boston, Mass.
3 The Department of Radiology of the Harvard Medical School, Boston, Mass.

Hirschsprung's disease, or congenital megacolon, is due to a functionally abnormal segment of bowel in the sigmoid or rectosigmoid. This can be demonstrated effectively by appropriate roentgenologic studies with barium as a contrast medium. The bowel above this abnormally functioning segment shows changes commonly found above an area of obstruction; the bowel is dilated and hypertrophied.

Removal of the functionally abnormal bowel (rectum or rectosigmoid) has relieved the patients' symptoms. A new operative technique is utilized in performing this resection. The fact is stressed that these children will have to be followed for a period of several years before any claims of a permanent cure can be made.

Submitted on November 29, 1948




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O. Swenson
Hirschsprung's Disease: A Review
Pediatrics, May 1, 2002; 109(5): 914 - 918.
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