| 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 |
Related Documents
:
|
6724245 - Is there a safe interval between diagnostic invasive procedure and the barium enema stu... 9128305 - The prevalence of colonic neoplasia in patients with barrett's esophagus: prospective a... 8055385 - Reflux after esophagectomy and interposition of right colon. 7615185 - First observation of microadenomas in the ileal mucosa of patients with familial adenom... 15499295 - Palliative treatment of painful disseminated bone metastases with 186rhenium-hedp in pa... 8514495 - Pattern and severity of injury sustained by motorcyclists in road traffic accidents in ... |
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. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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
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...