Clinical Features and Functional Outcome of the Patients with Idiopathic Chronic Constipation Who Underwent Surgical Treatment / 대한소화관운동학회지
Korean Journal of Gastrointestinal Motility
;
: 204-215, 2001.
Artículo
en Coreano
| WPRIM
| ID: wpr-117074
ABSTRACT
BACKGROUND:
In patients with intractable constipation who are poorly responsive to medical treatments, surgical treatments may be considered. However, how preoperative physiologic evaluations contribute to some information in making surgical decision is not established. The aim of this study was to evaluate the outcome of surgical treatment in patients with severe constipation who underwent preoperative functional study.METHODS:
Preoperative functional evaluation included colon transit time test, defecography, scintigraphic gastric emptying time test, anorectal manometry and balloon expulsion test. Nine patients with a mean age of 48 years old were taken total colectomy with ileorectal anastomosis. Slow colonic transit was demonstrated in each case. All patients were available for follow-up, with median time of 35 (range; 10-55) months.RESULTS:
Seven patients (78%) were satisfied with outcome, improved the quality of life, and felt the operation was valuable despite of residual symptoms. Two patients did not experience symptom improvements. Six of seven colonic inertia or combined spastic pelvic floor syndrome patients had a satisfactory outcome. In contrast, one of two patients with generalized intestinal dysmotility did not show any improvement after surgery.CONCLUSIONS:
Preoperative physiologic testing reliably identified patients with severe constipation who might have benefits from surgery. If cases are carefully diagnosed and selected, the surgical treatment may be highly effective in alleviating symptoms.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Calidad de Vida
/
Estudios de Seguimiento
/
Colectomía
/
Diafragma Pélvico
/
Colon
/
Estreñimiento
/
Defecografía
/
Vaciamiento Gástrico
/
Manometría
/
Espasticidad Muscular
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Gastrointestinal Motility
Año:
2001
Tipo del documento:
Artículo
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