Document Detail


Left hemicolectomy with rectal excision for severe idiopathic constipation.
MedLine Citation:
PMID:  2033355     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
M A Kamm; J R van der Sijp; P R Hawley; R K Phillips; J E Lennard-Jones
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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    
Affiliation:
St. Mark's Hospital, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Colectomy / methods*
Constipation / surgery*
Female
Follow-Up Studies
Gastrointestinal Transit / physiology
Humans
Rectum / surgery*
Time Factors

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


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