先天性結腸閉鎖症 : 自験 5 例の検討

概要

論文の詳細を見る
Since congenital atresia of the colon is a relatively rare anomaly, no sufficient experience has been available for diagnosis and management. From 1969 to 1978, five patients with colon atresia have been treated at the Niigata University Hospital. This paper deals with these five cases and discusses the diagnosis and management. Bilious vomiting, abdominal distension and failure to pass meconium are the most common symtoms and signs of this anomaly, but these can not differentiate a colon atresia from jejunoileal atsesia. The plain rentgenograms give some important information. A loop of largely dilated intestine with air-fluid level in the right abdomen may be suggestive of ascending colon atresia, and then multiple loops may be of transverse colon atresia or descending colon atresia. The barium enema is most helpful for establishing diagnosis, but it is not without risk such as perforation of the blind end of the distal colon. Colon atresia will be managed safely by proximal end-colostomy and subsequent resection with end-to-end anastomosis at the age of 3 to 6 months.