A Case of Megacystis Microcolon Intestinal Hypoperistalsis Syndrome (MMIHS) Successfully Cared for by Surgery

  • Shimizu Hirofumi
    Department of Regenerative Surgery, Fukushima Medical University School of Medicine
  • Ise Kazuya
    Department of Regenerative Surgery, Fukushima Medical University School of Medicine
  • Yamashita Michitoshi
    Department of Regenerative Surgery, Fukushima Medical University School of Medicine
  • Ishii Show
    Department of Regenerative Surgery, Fukushima Medical University School of Medicine
  • Nakayama Kei
    Department of Regenerative Surgery, Fukushima Medical University School of Medicine
  • Yoshino Yasuaki
    Department of Regenerative Surgery, Fukushima Medical University School of Medicine
  • Kanazawa Yukio
    Department of Regenerative Surgery, Fukushima Medical University School of Medicine
  • Gotoh Mitsukazu
    Department of Regenerative Surgery, Fukushima Medical University School of Medicine

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Other Title
  • 外科治療が奏功したmegacystis microcolon intestinal hypoperistalsis syndrome の1 例
  • 症例報告 外科治療が奏功したmegacystis microcolon intestinal hypoperistalsis syndromeの1例
  • ショウレイ ホウコク ゲカ チリョウ ガ ソウコウ シタ megacystis microcolon intestinal hypoperistalsis syndrome ノ 1レイ

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Abstract

Megacystis microcolon intestinal hypoperistalsis syndrome (MMIHS) is one of the most severe diseases involving functional intestinal obstruction in the newborn. We report a case of MMIHS successfully cared for by surgery. The patient was a 22-month-old girl. After birth, she developed bilious vomiting and was diagnosed with MMIHS based on radiographic contrast studies. She underwent jejunostomy and gastrostomy at the neonatal period, transverse colostomy at 6 months old, appendicostomy at one year old, and partial colectomy with dilatation at 15 months old. To avoid enteritis, we continued to undertake intestinal lavage with help from her parents. She was fed on both enteral alimentation and parenteral nutrition. It was important that surgical treatments for the patients with MMIHS were appropriated according to the disease condition. Prevention of enteritis by appropriate surgery could have contributed to improving the QOL and prognosis.

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