{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T12:56:09Z","timestamp":1761742569095},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[1991,3,1]],"date-time":"1991-03-01T00:00:00Z","timestamp":667785600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1991,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Chagas' disease is an endemic clinical entity caused by<\/jats:bold><jats:bold><jats:italic>Trypanosoma cruzi<\/jats:italic><\/jats:bold>,<jats:bold>a parasite that is transmitted to humans by the hematophagic Triatominae insects. It affects several million persons in Latin America, mostly in Brazil, Argentina, Chile, Paraguay, and Bolivia. Megacolon, the most common complication of intestinal trypanosomiasis, results in severe constipation, for which surgery is indicated. A variety of procedures have been proposed for the correction of this disabling condition including sigmoidectomy, abdominal rectosigmoidectomy, left colectomy, and subtotal colectomy. On long\u2010term follow\u2010up, however, these operations have proved to be inadequate in a significant number of cases, apparently due to preservation of the dyskinetic rectum which continues to act as a functional obstacle to the progression of the fecal bolus. On the other hand, pull\u2010through operations, which include the removal of all or almost all of the dyskinetic rectum, or the exclusion of the rectum, as in the Duhamel\u2010Haddad operation, have been demonstrated to be superior<\/jats:bold>.<\/jats:p><jats:p><jats:bold>The abdominoperineal endoanal pull\u2010through resection with delayed colorectal anastomosis and the Duhamel\u2010Haddad operation are the most accepted procedures in Brazil and other Latin American countries; their technical details are illustrated. Functional results are satisfactory. Anal continence is normal in the vast majority of cases and sexual disturbances are rare. Routine treatment of 2\u00a0main complications\u2014fecaloma and volvulus of the sigmoid colon\u2014are discussed<\/jats:bold>.<\/jats:p>","DOI":"10.1007\/bf01659052","type":"journal-article","created":{"date-parts":[[2005,5,8]],"date-time":"2005-05-08T12:56:40Z","timestamp":1115557000000},"page":"188-197","source":"Crossref","is-referenced-by-count":20,"title":["Surgery of chagasic megacolon"],"prefix":"10.1002","volume":"15","author":[{"given":"Daher E.","family":"Cutait","sequence":"first","affiliation":[{"name":"Hospital Sirio\u2010Liban\u00e9s University of S\u00e3o Paulo School of Medicine S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raul","family":"Cutait","sequence":"additional","affiliation":[{"name":"Hospital Sirio\u2010Liban\u00e9s University of S\u00e3o Paulo School of Medicine S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1991,3]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"643","article-title":"Etiologia e patogenese do megaesofago no Brasil","volume":"47","author":"Koberle F.","year":"1955","journal-title":"Rev. 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Nova t\u00e9cnica de Retossigmoidectomia Abdominoperineal sem Colostomia vol. 2 S\u00e3o Paulo Anais do I Congresso Latino Americano II Internacional e X Brasileiro de Proctologia 1960 p.831."},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02627230"},{"key":"e_1_2_1_14_1","first-page":"447","article-title":"Megacolon adquirido: Nova t\u00e9cnica da anastomose colo\u2010retal na retossigmoidectomia abdominoperineal","volume":"60","author":"Cutait D.E.","year":"1962","journal-title":"Rev. Paul. Med."},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02617071"},{"key":"e_1_2_1_16_1","first-page":"121","article-title":"Prevention of pelvic complications in pull\u2010through operations for cancer and benign lesions","volume":"63","author":"Cutait D.E.","year":"1970","journal-title":"Proc. R. Soc. Med."},{"key":"e_1_2_1_17_1","first-page":"63","volume-title":"Temas de Coloproctologia","author":"Cutait D.E.","year":"1982"},{"key":"e_1_2_1_18_1","first-page":"391","volume-title":"Operative surgery of the Colon, Rectum and Anus","author":"Cutait D.E.","year":"1983"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02560425"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.28.2.109"},{"key":"e_1_2_1_21_1","first-page":"116","article-title":"Retossigmoidectomia endoanal com resseccao da mucosa retal","volume":"57","author":"Simonsen O.","year":"1960","journal-title":"Rev. Paul. Med."},{"key":"e_1_2_1_22_1","first-page":"2249","article-title":"Une nouvelle operation de megacolon congenital","volume":"64","author":"Duhamel B.","year":"1956","journal-title":"Press M\u00e9d."},{"key":"e_1_2_1_23_1","first-page":"83","article-title":"Abaixamento retro\u2010retal do c\u00f3lon con colostomia perineal no tratamento do megac\u00f3lon adquirido. Operacao de Duhamel modificada","volume":"11","author":"Haddad J.","year":"1965","journal-title":"Rev. Ass. M\u00e9d. Bras."}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/BF01659052.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/BF01659052\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/BF01659052","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T15:13:22Z","timestamp":1704986002000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/BF01659052"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,3]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1991,3]]}},"alternative-id":["10.1007\/BF01659052"],"URL":"https:\/\/doi.org\/10.1007\/bf01659052","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[1991,3]]}}}