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Related Experiment Videos

[Constipation. New therapeutic trends].

G Netri1, G Carella, G Lemmo

  • 1Istituto di Patologia Speciale Chirurgica, Università Cattolica del S. Cuore di Roma.

La Clinica Terapeutica
|July 31, 1991
PubMed
Summary

Surgical intervention for certain bowel conditions is reserved for cases unresponsive to medical treatment. While often associated with high failure rates and side effects like pain and diarrhea, specific surgical procedures can be effective for outlet obstruction, inertia coli, and Hirschsprung's disease.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Pediatric Surgery

Context:

  • Surgical intervention is considered when medical management for specific gastrointestinal motility disorders fails.
  • Psychological evaluation is recommended prior to surgical consideration.
  • Current surgical outcomes are often unsatisfactory, with a high incidence of complications.

Purpose:

  • To evaluate the efficacy and outcomes of surgical interventions for specific colorectal conditions.
  • To identify patient subgroups that may benefit from surgical treatment.
  • To analyze post-operative complications and patient-reported symptoms.

Summary:

  • Surgical treatment for conditions like outlet obstruction, inertia coli, and Hirschsprung's disease is indicated after failed medical management.

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  • Procedures such as myectomy or Duhamel's operation show promise in specific patient populations.
  • Post-surgical complications include abdominal pain and diarrhea, highlighting the need for careful patient selection and procedural choice.

    • Impact:

    • Highlights the limited success of current surgical approaches for many patients.
    • Identifies specific conditions (outlet obstruction, inertia coli, Hirschsprung's disease) where surgery, particularly myectomy or Duhamel's operation, can yield positive results.
    • Underscores the importance of psychological assessment and managing post-operative symptoms in surgical candidates.