Introduction: Deloyers procedure has been reported in the literature as a viable alternative to the more commonly performed Swenson, Soave and Duhamel methods. As of yet, the long term sequelae of this procedure for patients with Hirschsprung's disease have not been studied in depth.
Presentation Of Case: We report the first case in the literatures of a 27-year-old man presenting with rectal prolapse due to colorectal anastomotic intussusception after Deloyers procedure for Hirschsprung's disease.
Discussion: Few studies with low case volume have been performed investigating the long term sequelae of Deloyers procedure as a mainstay in patients undergoing operative treatment for Hirschsprung's disease. This procedure allows for preservation of a longer segment of colon, in turn potentially improving absorption and continence compared to other methods. Studies are limited and as of yet the viability of Deloyers as a mainstay of treatment for Hirschsprung's disease is inconclusive.
Conclusion: We report the first adult case of prolapsed colorectal anastomotic intussusception after Deloyers procedure for Hirschsprung's disease. Further study is required to delineate long-term complications and viability of this method in these patients.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6403099 | PMC |
| http://dx.doi.org/10.1016/j.ijscr.2019.02.021 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Colonic Derotation Revisited: The "Deloyers Procedure" for Long-Segment Hirschsprung Disease.
Cureus
December 2024
Comprehensive Colorectal Center, Department of Surgery, Children's Mercy Kansas City, Kansas City, USA.
Long-segment Hirschsprung disease (HSCR) presents significant challenges in surgical management, often requiring extensive bowel mobilization and creative techniques to achieve tension-free anastomosis. Colonic derotation offers a viable solution for preserving bowel length and maintaining the ileocecal valve, which is crucial for postoperative bowel function. The procedure involves extensive colonic mobilization and strategic vascular divisions of the right and middle colic vessels while preserving the ileocolic and marginal arteries, followed by a 180° counterclockwise rotation of the colon around the ileocolic vascular axis.
View Article and Find Full Text PDFOpen Deloyers Procedure.
Dis Colon Rectum
September 2024
Department of Surgery, Trinity Health Ann Arbor, Ypsilanti, Michigan.
Salvage Robotic Deloyers Procedure With Transanal Total Mesorectal Excision for Symptomatic Colovaginal Fistula.
Dis Colon Rectum
September 2024
Department of General Surgery, The Alfred Hospital, Melbourne, Australia.
Salvage robotic Deloyers procedure with transanal total mesorectal excision for anastomotic stricture-A video vignette.
Colorectal Dis
October 2024
Division of Cancer Surgery, Peter MacCallum Cancer Centre, Victorian Comprehensive Cancer Centre, Melbourne, Victoria, Australia.
Usefulness of Deloyers procedure with minimally invasive coloproctectomy in an elderly patient with synchronous colorectal cancer: A case report.
Asian J Endosc Surg
October 2024
Department of Surgery, Fujita Health University, Toyoake, Japan.
Subtotal colectomy is often performed on patients with synchronous colorectal cancer. However, compared with colorectal anastomosis, ileorectal anastomosis with subtotal colectomy is more likely to result in bowel dysfunction. The Deloyers procedure is useful in preserving bowel function in a patient with synchronous colorectal cancer.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!