Does ispaghula husk stimulate the entire colon in diverticular disease?

H A Thorburn; K B Carter; J A Goldberg; I G Finlay

doi:10.1136/gut.33.3.352

Does ispaghula husk stimulate the entire colon in diverticular disease?

Gut ◽

10.1136/gut.33.3.352 ◽

1992 ◽

Vol 33 (3) ◽

pp. 352-356 ◽

Cited By ~ 12

Author(s):

H A Thorburn ◽

K B Carter ◽

J A Goldberg ◽

I G Finlay

Keyword(s):

Diverticular Disease ◽

Entire Colon

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Congenital Diverticular Disease of the Entire Colon

Case Reports in Surgery ◽

10.1155/2013/319026 ◽

2013 ◽

Vol 2013 ◽

pp. 1-2

Author(s):

A. Patel ◽

H. M. N. Joshi ◽

C. Kaur ◽

J. M. Wilson

Keyword(s):

Diverticular Disease ◽

Rare Condition ◽

Entire Colon ◽

Colonic Diverticulosis ◽

Colonic Wall

Congenital or true colonic diverticulosis is a rare condition typified by the preservation of the colonic wall architecture within the diverticular outpouching. Cases of multiple jejunal diverticula have been reported as well as cases of solitary giant diverticula of the colon. There have been no reports in the literature of pancolonic congenital diverticulosis.

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Two Siblings with Total Colonic Aganglionosis Extended to the Ileum

Swiss Surgery ◽

10.1024/1023-9332.9.4.187 ◽

2003 ◽

Vol 9 (4) ◽

pp. 187-189

Author(s):

Aslan ◽

Caglar ◽

Karagüzel ◽

Melikoglu

Keyword(s):

Intestinal Obstruction ◽

Loop Ileostomy ◽

Good Condition ◽

Disease Type ◽

Definitive Treatment ◽

Entire Colon ◽

Total Colonic Aganglionosis ◽

Protective Ileostomy ◽

Definitive Surgery ◽

Partial Intestinal Obstruction

Total colonic aganglionosis (TCA) extended to the ileum is seen quite rare among infants with Hirschsprung's disease. Type and timing of definitive surgery in these patients are controversial. This report was presented to discuss the management of two siblings with TCA. Case 1: A two-day-old girl was operated for partial intestinal obstruction. During laparotomy, serial frozen biopsies proved TCA extended to the terminal ileum and a loop ileostomy was performed. At five months of age, a modified Duhamel-Martin procedure without protective ileostomy was performed. An endo-GIA stapler was transanally used for colo-ileal anastomosis. She is doing well for the last five years. Case 2: A one-day-old boy admitted to the hospital with similar findings to his sister. Frozen biopsies during first laparotomy proved that majority of ileum and entire colon was aganglionic and a proximal ileostomy was performed. At 10 months of age, he underwent a similar Duhamel-Martin operation. He is in a good condition for the last four years. Conclusion: In infants, our modification on Duhamel-Martin procedure, which is based on the use of an endo-GIA stapler transanally for colo-ileal anastomosis without protective ileostomy, may be utilized as an alternative method in the definitive treatment of patients with TCA.

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