Abstract
Twenty seven cases of aganglionosis extending into the small intestine were treated during the past 16 years. Among 16 cases of total colonic aganglionosis, which includes the aganglionosis involving ileum within 30cm. orally from the ileocecal valve, 10 cases (62.5.%) survived. Of 11 cases of the more extensive aganglionosis, 2 (18.2%) survived. The Soave's operation was used for 4 cases with total colonic aganglionosis, while the Martin's procedure was indicated for 6 cases with total colonic and for 2 infants with the .more extensive aganglionosis. The feces of all patients received the Martin's procedure became semiformed within one year after the operation. Clinical observation indicates that the reahsorptive capacity of the Martin's operation is well preserved in the aganglionosis with small bowel involvement. The purpose of this paper is to report the operative results of total colonic and the more extensive aganglionosis and to discuss on some points of treatment of this condition.
