Surgical treatment of colon dysmotility constipation

  • Y. T. You*
  • , J. Y. Wang
  • , C. R. Changchien
  • , J. S. Chen
  • , K. C. Hsu
  • , R. Tang
  • , J. M. Chiang
  • , H. H. Chen
  • *Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

Abstract

Subtotal colectomy with ileorectostomy has been proposed for the management of colon dysmotility constipation. However, many patients have frequent bowel movements and watery diarrhea, or both following form of this treatment. The purpose of this study was to determine the proper colectomy for treating colon dysmotility constipation while avoiding these sequelae. Forty patients with idiopathic constipation patients were enrolled. All patients showed prolonged right and/or left colon transit time and normal sigmoid colon and rectum transit time. They received different kinds of colectomy (left, right, or subtotal), according to the prolonged transit time segment. The results showed that all the patients had dramatic improvement of the constipation without frequent bowel movements and/or watery diarrhea 6 months after surgery. No significant complications developed after surgery. These results suggest that precise colectomy can effectively correct colon dysmotility constipation.

Original languageEnglish
Pages (from-to)404-408
Number of pages5
JournalJournal of Surgical Association Republic of China
Volume30
Issue number6
StatePublished - 1997
Externally publishedYes

Keywords

  • Colectomy
  • Colon dysmotility

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