| Retrospective series of subtotal colonic bypass and antiperistaltic cecoproctostomy for the treatment of slow-transit constipation. | |
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MedLine Citation:
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PMID: 20127341 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Some popular surgical methods with big trauma to treat slow-transit constipation (STC) at present are far from satisfactory. This work is aimed to evaluate the clinical and functional outcomes of a redesigned procedure of subtotal colonic bypass and antiperistaltic cecoproctostomy (SCBAC) for the treatment of STC. METHODS: The clinical data of 18 patients with severe idiopathic STC treated with SCBAC between September 2003 and September 2008 were retrospectively analyzed. The last eight patients accepted SCBAC were assessed by short form-36 (SF-36) scores translated into Chinese to inquire upon the quality of life before and 6 months after operation. RESULTS: There were no procedure-related deaths in this series (mortality, 0%) or any serious complication. The average follow-up period was 17 months (range, 6-60 months). There was no intestinal occlusion due to adhesions that required surgery in all these patients. Scores for all SF-36 subscales were significantly higher for patients after operation than for before operation. A high number of patients (83%) expressed a willingness to repeat the procedure given the same preoperative conditions. CONCLUSION: Our clinical practice demonstrates that the procedure of SCBAC is effective for the treatment of severe idiopathic STC in some cases. Due to its mild trauma and less operating time, SCBAC is almost well-tolerated and compatible in all age groups, making it worthy of further practice and investigation. |
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Authors:
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Yonggang Wang; Chunbao Zhai; Liyun Niu; Lijun Tian; Jianyong Yang; Zheng Hu |
Publication Detail:
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Type: Journal Article Date: 2010-02-03 |
Journal Detail:
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Title: International journal of colorectal disease Volume: 25 ISSN: 1432-1262 ISO Abbreviation: Int J Colorectal Dis Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-03-26 Completed Date: 2010-06-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8607899 Medline TA: Int J Colorectal Dis Country: Germany |
Other Details:
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Languages: eng Pagination: 613-8 Citation Subset: IM |
Affiliation:
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Department of Colorectal Surgery, Shanxi Provincial People's Hospital, Taiyuan, The People's Republic of China, 030012. wygcp@163.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Antidiarrheals / pharmacology*, therapeutic use Cecum / drug effects, radiography, surgery* Colon / drug effects, radiography, surgery* Constipation / drug therapy, physiopathology*, surgery Digestive System Surgical Procedures / methods* Female Gastrointestinal Transit / drug effects* Humans Male Middle Aged Rectum / drug effects, radiography, surgery* Retrospective Studies Time Factors |
| Chemical | |
Reg. No./Substance:
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0/Antidiarrheals |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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