Abstract
The primary treatment of congenital megacolon is definitive surgery. Of the various operative modifications that have been described, the 3 basic techniques are the Swenson pull through, the Duhamel, and the Soave operations.This article describes the roentgenologic appearance of the 3 basic operations and their most common modifications.Barium enema examination performed in a postoperative patient is an excellent method to assess the surgical correction as well as the failures and complications.To properly evaluate postoperative Hirschsprung’s disease, the roentgenologist must be acquainted with the expected anatomic changes and their roentgenographic manifestations. The etiology of postoperative problems following surgical repair of Hirschsprung’s disease may be demonstrated by the roentgenologic principles and techniques discussed.
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