Cite item


Aim. To determine the volume of surgical intervention in pediatric dolichomegacolon depending of the damaged part of the colon. Materials and methods. The results of examination and treatment of 24 children at the age of 2 to 14 years who were treated for dolichomegacolon from 2006 till now are presented in the paper. There were 15 (62,5%) boys and 9 (37,5%) girls. All children were admitted to the hospital with the symptoms of acute abdomen: acute appendicitis, acute intestinal obstruction, abdominal pain syndrome. Examination was carried out by the accepted clinical standards. Results. Ten (41,7%) children were operated using the technique of length, colon position correction, 14 (58,3%) - the technique of subfascial resection of the distal part of the colon including rectum. Six months later, 2 (20%) patients operated with the technique of length, colon position correction had resumed constipations that was considered as an unsatisfactory result. Twelve months later, 1 (7,1%) patient had stenosis of the zone of colonic anastomosis with constipation relapse that was also regarded as an unsatisfactory result. Conclusions. In patients with dolichomegacolon accompanied by dysplasia of colonic wall nervous apparatus, surgical technique of length, position correction is not always effective. Remission preserving for the first 6 months after the surgery is associated mainly with resection of decompensated parts and temporary efficient propulsion of the above lying colonic parts, of the remaining distal part of sigma and rectum involved into the process and having dystrophic changes in the wall that is the reason of frequent constipation relapses.

About the authors

F Kh Saidov



  1. Алешин Д. В. Выбор метода хирургического лечения резистентных форм колостаза: автореф. дис.. канд. мед. наук. М. 2007; 28.
  2. Высоцкий Ф. М. Хирургическая коррекция осложнений долихоколон. Актуальные вопросы колопроктологии: материалы I съезда колопроктологов России. Самара 2003; 417.
  3. Джавадов Э. А. Диагностика хронического колостаза у больных с долихоколон. Анналы хирургии 2009; 3: 21-23.
  4. Джавадов Э. А. Хирургическое лечение хронического колостаза. Хирургия 2009; 12: 60-62.
  5. Джавадов Э. А., Курбанов С. С., Ткаченко Ю. Н. Хирургическое лечение хронического кишечного стаза у больных с долихоколон. Хирургия 2010; 9: 53-58.
  6. Киргизов И. В., Ленюшкин А. И., Горбунов Н. С. Новое понимание проблемы хронического колостаза у детей. Детская хирургия 2006; 6: 17-22.
  7. Наврузов С. Н. Хронический толстокишечный стаз. Ташкент: Медицина 2005; 51-54.
  8. Осипенко М. Ф. Мега- и долихоколон: клинические проявления, факторы риска, патогенез, диагностика. Российский журнал гастроэнтерологии, гепатологии, колопроктологии 2005; 15 (4): 74-81.
  9. Сварич В. Г. Рентгенологические критерии дифференциальной диагностики различных вариантов хронического колостаза у детей. Педиатрия 2008; 87 (3): 53-56.
  10. Хамраев А. Ж. Хирургическое лечение детей с приобретенными хроническими запорами. Детская хирургия 2008; 1: 7-10.
  11. Bruch H. P. Causes and treatment of megacolon in adults. Chirurg Praxis 2004; 62 (4): 605-617.
  12. Ding Z. L. Effect of combined drug treatment on megacolon with severe constipation. Nat. Med. J. China. 2007; 87 (10): 670-672.
  13. Frisancho O. Dolichomegacolon of the Andes and intestinal volvulus due to altitude. Rev. Gastroenterol. Peru. 2008; 28 (3): 248-257.
  14. Levy J. M., McGinness C., Jaffe B. M. Megacolon, hypoganglionosis, and cerebrovascular disease. J. Louisiana State Med. Soc. 2010; 162 (2): 92-95.
  15. Szajewski M. Surgical treatment of megacolon-case report. Przeglad Lekarski 2008; 65 (9): 408-409.
  16. Szarka L. A., Pemberton J. H. Treatment of megacolon and megarectum. Curr. Treatm. Options. Gastroenterol. 2006; 9 (4): 343-350.
  17. Tezuka T. Megacolon in multiple system atrophy: Safety concerns related to PEG. Movement Dis. 2009; 24 (7): 1096-1097.
  18. Werner C. R. Megacolon in adulthood after surgical treatment of Hirschsprung's disease in early childhood. World J. Gastroenterol. 2005; 11 (36): 5742-5745.

Copyright (c) 2014 Saidov F.K.

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies