Pullthrough Operation for Hirschsprung's Disease: Importance of a Circumferential (Donut) Biopsy at the Level of the Anastomosis

• Main Authors: Susan Jehangir (Author), Soundappan Venkatraman Sannappa Soundappan (Author), Micheal Krivanek (Author), Susan Arbuckle (Author), Nicole Graf (Author)
• Format: Book
• Published: Georg Thieme Verlag KG, 2019-01-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Hirschsprung's disease is characterized by the absence of ganglia in the distal colon, resulting in a functional obstruction. It is managed by excision of the aganglionic segment and anastomosis of the ganglionated bowel just above the dentate line. The level of aganglionosis is determined by p...