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Patients with Anorectal Malformation and Hirschsprungs Disease
European Journal of Pediatric Surgery, 10/22/09
Raboei EH et al. – The association between ARM and intestinal dysganglionosis is not rare. The authors recommend not using the distal rectal pouch and parts of the fistula in the reconstruction of anorectal malformations as this may solve the constipation if the pathology is limited. In cases of aganglionosis beyond the rectal pouch and fistula, surgical intervention is needed. Delay in diagnosis may lead to morbidity or even mortality.
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