THE APPLICATION OF RADIO-OPAQUE MARKERS PRIOR TO ILEOSTOMY IN AN INFANT WITH CHRONIC INTESTINAL PSEUDOOBSTRUCTION - REPORT OF A CASE

We report the case of a 6-month-old boy who developed chronic intestin al pseudo-obstruction soon after birth, A rectal biopsy demonstrated i mmaturity of the neuronal cells in the enteral ganglion. His clinical course was stressful, with remission and exacerbation despite conserva tive treatment with daily bowel irrigation, prokinetic agents, and par enteral nutrition, Since the infant developed serious enterocolitis as sociated with the increased severity of his bowel obstruction, and no substantial gain in body weight was observed, a loop-ileostomy was per formed based on X-ray findings with radioopaque markers, which were em ployed to evaluate the whole gut transit time. The radio-opaque marker s proved extremely useful for determining which loop of the ileum shou ld be utilized for the ileostomy.