Side-to-Side Ileosigmoidostomy Shunting Surgery for the Treatment of Elderly Patients With Chronic Constipation
Annals of Coloproctology
;
: 249-252, 2017.
Article
in English
| WPRIM
| ID: wpr-47838
ABSTRACT
Constipation is a digestive disorder that often occurs in the elderly; its main cause is bowel motility disorder. Treatments for patients with chronic constipation include pharmacotherapy, diet changes, and surgery if other therapies do not offer satisfactory results. We describe 4 patients, 2 men (70 and 65 years old) and 2 women (75 and 66 years old), who were diagnosed with chronic constipation (slow transit constipation) and treated with conventional therapy, but did not improve. For that reason, side-to-side ileosigmoidostomy shunting surgery was performed. After the surgery, the average time until normal defecation was 16 days, and the defecation frequency was 3 to 4 times a day with no need for a laxative. No patient had a recurrence of constipation. Based on these results, side-to-side ileosigmoidostomy shunting surgery is expected to restore digestive function and can be considered as an alternative therapy for elderly patients with chronic constipation.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Colostomy
/
Constipation
/
Defecation
/
Diet
/
Drug Therapy
/
Laxatives
/
Intestinal Diseases
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
Annals of Coloproctology
Year:
2017
Type:
Article
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