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[Open surgical therapy of constipation].
A Thiede1, M Kraemer, M Sailer
1Chirurgische Klinik und Poliklinik, Julius-Maximilians-Universität Würzburg.
Zentralblatt Fur Chirurgie
|November 2, 1999
Summary
Surgical therapy for chronic constipation, including colonic resection, is a last resort for refractory cases. It is considered only after exhausting conventional treatments and confirming colonic inertia without outlet obstruction.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Context:
- Chronic constipation is a prevalent condition impacting quality of life.
- Surgical interventions are reserved for refractory cases unresponsive to conservative management.
Purpose:
- To review diagnostic criteria, indications, and selection criteria for surgical therapy in chronic constipation.
- To emphasize surgical approaches for pelvic outlet obstruction.
Summary:
- Colonic resection is a last resort for severe, refractory colonic inertia (slow transit constipation) after comprehensive diagnostics.
- Surgical intervention requires exclusion of associated pelvic outlet obstruction.
Impact:
- Provides guidance for selecting appropriate surgical candidates in complex chronic constipation.
- Highlights the importance of rigorous diagnostic protocols before considering surgical options.