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.
Artigo
em 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:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Qualidade de Vida
/
Seguimentos
/
Colectomia
/
Diafragma da Pelve
/
Colo
/
Constipação Intestinal
/
Defecografia
/
Esvaziamento Gástrico
/
Manometria
/
Espasticidade Muscular
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Gastrointestinal Motility
Ano de publicação:
2001
Tipo de documento:
Artigo
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