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Surgery Small & Large Intestine 73fac785

Congenital megacolon develops secondary to failure of -

A
Migration of vagal neural crest cells to gut
B
Neurogenesis
C
Defecation reflex
D
External anal sphincter relaxation
High-Yield Explanation
Ans. is 'a' i.e., Migration of vagal neural crest cells to gut * Hirschsprung's disease (congenital megacolon) is characterised by the congenital absence of intramural ganglion cells (aganglionosis) and the presence of hypertrophic nerves in the distal large bowel.* The absence of ganglion cells is due to a failure of migration of vagal neural crest cells into the developing gut.* The affected gut is in spasm causing a functional bowel obstruction.

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