Titlebook: Colo-rectal Surgery; Georg Heberer (Direktor der Chirurgischen Universi Conference proceedings 1982 Springer-Verlag, Berlin Heidelberg 198

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Introduction,ques and important contributions in this field came especially from surgeons in Great Britain. I am glad that the Anglo-German Proctology Meeting, organized by the Royal Society of Medicine, Section of Proctology, and the Department of Surgery of the University here in Munich this year, provided an

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The Pathology of Megacolon,ove consistently analwards. The argyrophil nerve cells of the myenteric plexus control these contractions in such a manner that organised peristalsis occurs. If the nerve supply is absent or destroyed, pseudo-obstruction occurs, with hypersegmentation of the muscle which results in a noisy abdomen a

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Dorsal

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Idiopathic Megacolon,hing from 1 week to 1 month or even 1 year without a bowel action, and there is often a history of enemas, washouts, and disimpactions. The distension may be extreme but is usually made worse by eating, the added distension of the stomach causing discomfort and bloating. The patient often complains

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,Complications After Surgical Treatment of Hirschsprung’s Disease,moidectomy, Duhamel’s retrorectal pull-through technique and Soave/Booley’s endorectal pull-through procedure with or without anastomosis (Fig. 1) (Holschneider et al. 1981). Whereas Swenson’s rectosigmoidectomy is mostly practised in the USA, Rehbein’s and Duhamel’s procedures are the favoured tech

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Pseudo-Obstruction of the Colon,en patients [3, 4, 8]. This condition was first described by Ogilvie [7] in 1948 — and is generally termed pseudo-obstruction of the colon. If undiagnosed and untreated, distension usually leads to caecal perforation, peritonitis and death [2, 9, 12].

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