Chronic constipation is observed in post ileoanal pull through for total colonic aganglionosis. Myectomy has been done. But still they have very spastic internal sphincters. There is no obstructing cuff or kinking of loop.

Chronic constipation is observed in post ileoanal pull through for total colonic aganglionosis. Myectomy has been done. But still they have very spastic internal sphincters. There is no obstructing cuff or kinking of loop.
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