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Alleviating debilitating, chronic constipation with colostomy after appendicostomy: a case study.

Mirza K Baig¹, Mary Lou Boyer, Helen Marquez

¹Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL 33331, USA.

Ostomy/Wound Management

|January 28, 2006

Summary

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Severe chronic constipation can be debilitating. Laparoscopic-assisted sigmoid resection and end colostomy offered a successful treatment option for a patient with refractory constipation when other methods failed.

Area of Science:

Gastroenterology
Colorectal Surgery

Background:

Severe chronic constipation significantly impacts quality of life.
Standard treatments include dietary changes, laxatives, enemas, and biofeedback.
Surgical interventions are rarely indicated for constipation.

Observation:

A female patient presented with long-standing, severe constipation.
Previous treatments, including antegrade continence enema, provided no relief.
The patient had a history of failed conservative and minimally invasive treatments.

Findings:

The patient underwent successful laparoscopic-assisted sigmoid resection and end colostomy.
This surgical approach resolved the debilitating symptoms of chronic constipation.
The procedure offered a viable alternative when other therapies were ineffective.

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Implications:

Laparoscopic-assisted sigmoid resection with end colostomy may be a valuable option for select patients with refractory severe chronic constipation.
This surgical technique provides a potential solution for debilitating cases unresponsive to conventional management.
Further research could explore the long-term efficacy and patient selection criteria for this surgical approach.