Congenital Pouch Colon

Devendra K. Gupta and Shilpa Sharma

Contents

11.1

Introduction and Definition . . . 211

11.2

Historical Background .

. . 211

11.3

Geographic Distribution

. . . 212

11.4

Incidence . . . 212

11.4

Etiology and Embryogenesis . . . 212

11.5

Classification . . . 213

11.6

Histopathological Examination . . . 214

11.7

Clinical Presentation . . .

216

11.8

Investigations . . . 217

11.9

Associated Anomalies . .

. 217

11.10

Management . . . 217

11.10.1

Aims of Surgical Management . . . 217

11.10.2

Single-Stage versus Staged Surgery . . . 218

11.10.3

Staged Surgery ... 218

11.10.4

Definitive Procedure . .

218

11.11

Complications . . . 220

11.11.1

Window Colostomy . . .

220

11.11.2

Colostomy . . . 220

11.11.3

Coloplasty . . . 220

11.11.4

Pull-Through . . . 220

11.11.5

Short Colon Length . . .

220

11.12

Follow-Up . . . 220

11.13

Prognosis . . . 220

11.14

Overall Results . . . 220 References . . . 221

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