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Related Experiment Videos

Surgery for constipation.

Johann Pfeifer1

  • 1Department of General Surgery, Medical University of Graz, Austria.

Acta Chirurgica Iugoslavica
|December 5, 2006
PubMed
Summary
This summary is machine-generated.

For intractable chronic constipation, physiologic tests guide treatment after excluding other causes. Subtotal colectomy is preferred for surgery, but segmental resection suits specific sigmoid issues. Surgery may not resolve pain or bloating.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Intractable chronic constipation requires comprehensive evaluation.
  • Conservative measures should be exhausted before considering surgical intervention.

Purpose of the Study:

  • To outline the diagnostic and therapeutic strategies for intractable chronic constipation.
  • To define the role of surgical interventions and patient selection criteria.

Main Methods:

  • Review of current literature and clinical guidelines.
  • Analysis of surgical outcomes for various colorectal procedures.
  • Emphasis on physiologic testing and patient counseling.

Main Results:

  • Subtotal colectomy with ileorectal anastomosis (IRA) is the primary surgical choice.

Related Experiment Videos

  • Segmental resection is suitable for isolated megasigmoid, sigmoidocele, or recurrent sigmoid volvulus.
  • Patients with gastrointestinal dysmotility (GID) or psychiatric disorders generally have poor surgical outcomes.

    • Conclusions:

    • Surgical intervention for chronic constipation requires careful patient selection.
    • Pain and bloating may persist post-surgery, even with improved bowel frequency.
    • A stoma without resection can be a therapeutic and diagnostic option for select patients.