Document Detail

Left hemicolectomy with rectal excision for severe idiopathic constipation.
MedLine Citation:
PMID:  2033355     Owner:  NLM     Status:  MEDLINE    
The standard surgical therapy for severe idiopathic constipation is total colectomy with ileorectal anastomosis, but this results in intractable diarrhoea in a third of the patients and recurrent constipation in another 10%. Studies which employ either radio-isotopes or radio-opaque markers permit the delineation of regional delay in colonic transit. Based on these studies, and evidence that the rectum is also abnormal in these patients, we have performed a left hemicolectomy with rectal excision in 2 patients with proven left colonic delay. After 2 and 3 years of follow-up, both patients have normal frequency, transit studies and anorectal physiology studies. Segmental resection based on physiological studies may offer better relief of symptoms with a lower chance of side effects in selected patients.
M A Kamm; J R van der Sijp; P R Hawley; R K Phillips; J E Lennard-Jones
Related Documents :
9128305 - The prevalence of colonic neoplasia in patients with barrett's esophagus: prospective a...
7845035 - Scintigraphy of the whole gut: clinical evaluation of transit disorders.
24419705 - Acute pancreatitis and hyperparathyroidism: a case series.
6650075 - Functional results after subtotal colectomy and caecorectal anastomosis.
23329745 - Celiac disease and dermatitis herpetiformis in brazilian twins: a long-term follow-up a...
15649725 - Markers of coagulation activation, endothelial stimulation and inflammation in patients...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International journal of colorectal disease     Volume:  6     ISSN:  0179-1958     ISO Abbreviation:  Int J Colorectal Dis     Publication Date:  1991 Feb 
Date Detail:
Created Date:  1991-06-24     Completed Date:  1991-06-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8607899     Medline TA:  Int J Colorectal Dis     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  49-51     Citation Subset:  IM    
St. Mark's Hospital, London, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Colectomy / methods*
Constipation / surgery*
Follow-Up Studies
Gastrointestinal Transit / physiology
Rectum / surgery*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Prospective randomised comparison of current coagulation and injection sclerotherapy for the outpati...
Next Document:  The importance of the orientation of the electrode plates in recording the external anal sphincter E...