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Chronic intestinal ischaemia and Hirschsprung’s disease
  1. Richard G Fiddian-Green
  1. Correspondence to:
    R G Fiddian-Green
    richardfg{at}hotmail.com

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The prolonged carriage of Clostridium difficile in Hirschsprung’s disease reported in this study1 raises the possibility that Hirschsprung’s might indeed be a product of intestinal ischaemia that develops in utero and might persist thereafter as chronic intestinal ischaemia, possibly because of persistent vascular abnormalities.2

Chronic ileal ischaemia seems to …

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    BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health