TOTAL COLONIC AGANGLIONOSIS: A DIAGNOSIS DILEMMA AND LONG TERM OUTCOME

Authors

  • Qisthinadia Haziyah Setiadi Dokter Magang, Bagian Bedah Anak, FK Universitas Mataram - RSUD Provinsi NTB
  • Zikrul Haikal Staf Pengajar, Bagian Bedah Anak, Fakultas Kedokteran Universitas Mataram - RSUD Provinsi Nusa Tenggara Barat
  • Sunanto Staf Pengajar, Bagian Bedah Anak, Fakultas Kedokteran Universitas Mataram - RSUD Provinsi Nusa Tenggara Barat

DOI:

https://doi.org/10.29303/jku.v10i3.496

Keywords:

total colonic aganglionosis, hirschsprung, long term outcome

Abstract

Total colonicic aganglionosis (TCA) is a rare variant of Hirschsprung (HSCR). It occurs in approximately 2% -13% of the cases. Diagnosis TCA is challenging. Total colonic aganglionosis appears to represent a different clinical manifestation from other types of HSCR, both from clinical, radiologic, and histologic aspect. The underlying pathophysiologic is also thought to be due to a number of pathophysiologic mechanisms that differ from other types of HSCR.  It is not yet clear whether TCA merely represents a long form of HSCR or a different expression of other disease. In addition, the complication and long term outcome after surgery are also a challenge. Over the last several decades, improvements in the post operative care have led to lower mortality rate, which is now less than 5%. However, morbidity remained significant. The problem in TCA is not about its operative management, but lies in the accuracy of diagnosis and management of complication after surgery. Improvements in supportive care especially after surgery, early detection, and proper treatment have led to the increased rate of survival in TCA.

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Published

2021-12-18

How to Cite

Setiadi, Q. H., Zikrul Haikal, & Sunanto. (2021). TOTAL COLONIC AGANGLIONOSIS: A DIAGNOSIS DILEMMA AND LONG TERM OUTCOME. Jurnal Kedokteran, 10(3), 531–536. https://doi.org/10.29303/jku.v10i3.496

Issue

Section

Literature Review