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The differential diagnosis is discussed with particular reference to Hirschsprung's disease. The important aspects of medical treatment are outlined and the possible reasons for failure in more than one-half of the patients are discussed. The indications for surgical intervention in 14 patients are reviewed. The results following subtotal colectomy were better than following a localized sigmoid resection.<\/jats:p>","DOI":"10.1002\/bjs.1800640502","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T16:09:08Z","timestamp":1172851748000},"page":"305-310","source":"Crossref","is-referenced-by-count":71,"title":["Idiopathic megacolon: A review of 42 cases"],"prefix":"10.1093","volume":"64","author":[{"given":"R H S","family":"Lane","sequence":"first","affiliation":[{"name":"St Mark's Hospital , London"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I P","family":"Todd","sequence":"additional","affiliation":[{"name":"St Mark's Hospital , London"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1977,5,1]]},"reference":[{"key":"2024101718012088900_bib1","first-page":"150","article-title":"Histological investigations into \u2018idiopathic megacolon\u2019","volume":"41","author":"Duhamel","year":"1966","journal-title":"Arch. 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Med."}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800640502","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/64\/5\/305\/59834281\/bjs1800640502.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/64\/5\/305\/59834281\/bjs1800640502.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T18:31:43Z","timestamp":1729189903000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/64\/5\/305\/6186723"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1977,5,1]]},"references-count":8,"journal-issue":{"issue":"5","published-online":{"date-parts":[[1977,5,1]]},"published-print":{"date-parts":[[1977,5,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800640502","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1977,5]]},"published":{"date-parts":[[1977,5,1]]}}}