Megacystis-Microcolon-intestinal hypoperistalsis syndrome

Rural Areas Are More Vulnerable To Covid-19: Preventative Measures To Curb Infection

“…Since the most frequent findings were megacystis (Figure 1), functional obstruction, and malrotation, therefore, all of the operations were performed mainly to decompress the intestinal and urinary systems. Surgeons frequently chose to perform diverting ileostomy to benefit from early oral feeding to avoid long term TPN, and biopsy to exclude Hirschsprung's disease and other related motility disorders (16). Vesicostomy was reported in less than a fifth of cases only, after considering insertion of Foley catheter for initial decompression.…”

“…Vesicostomy was reported in less than a fifth of cases only, after considering insertion of Foley catheter for initial decompression. While some authors consider vesicostomy only if catheter was not tolerated or caretaker was unable to manage CIC (17), a minority of surgeons perform vesicostomy at first glance in the setting of elevated BUN to protect the kidney and prevent the progression of overwhelming sepsis (16). Others believe that the dilated urinary tract will not collapse even with maintained catheter drainage, so they encourage peritoneal dialysis catheter insertion under vision to avoid iatrogenic GI and urinary injury (18).…”