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Updated: Jun 18, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
04:05

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Published on: August 22, 2025

Surgical procedures for evacuatory disorders.

Alberto Arezzo1, Mario Pescatori

  • 1Chirurgia Generale II, Dipartimento di Discipline Medico Chirurgiche, Università di Torino, Italy.

Annali Italiani Di Chirurgia
|December 9, 2009
PubMed
Summary
This summary is machine-generated.

Treatments for constipation lack clear superiority due to limited trials. Surgery offers short-term relief but often recurs, suggesting functional causes are underestimated.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Constipation is a common condition with various treatment options.
  • Surgical interventions are considered for severe or refractory cases.

Purpose of the Study:

  • To critically evaluate contemporary treatments for constipation.
  • To assess efficacy, complications, patient selection, and controversies in surgical management.

Main Methods:

  • Systematic review of existing literature on constipation treatments.
  • Analysis of data from reported surgical procedures including resection-rectopexy, stapled prolapsectomy, and others.
  • Evaluation of both open and laparoscopic approaches.

Main Results:

  • No single surgical procedure demonstrated clear superiority due to a lack of prospective randomized trials.
  • Short-term outcomes are often positive, but long-term follow-up reveals high recurrence rates.
  • Organic lesions are targeted, while occult functional causes may be overlooked.

Conclusions:

  • A strict and selective surgical policy is recommended for patients with evacuation disorders.
  • Further research, particularly prospective randomized trials, is needed to establish optimal surgical strategies.
  • Addressing underlying functional causes is crucial for improving long-term treatment outcomes.