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Related Experiment Videos

Left hemicolectomy with rectal excision for severe idiopathic constipation.

M A Kamm1, J R van der Sijp, P R Hawley

  • 1St. Mark's Hospital, London, UK.

International Journal of Colorectal Disease
|February 1, 1991
PubMed
Summary

Segmental colectomy may improve severe constipation. This approach, targeting specific colon delays, offers better symptom relief and fewer side effects than total colectomy for select patients.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Physiology

Background:

  • Severe idiopathic constipation often requires total colectomy with ileorectal anastomosis.
  • This standard surgery has significant side effects, including intractable diarrhea (33%) and recurrent constipation (10%).

Observation:

  • Regional colonic transit delays can be identified using radio-isotopes or radio-opaque markers.
  • Rectal dysfunction is also observed in patients with severe idiopathic constipation.

Findings:

  • Two patients with proven left colonic delay underwent left hemicolectomy with rectal excision.
  • Both patients experienced normal bowel frequency, transit studies, and anorectal physiology after 2-3 years of follow-up.

Implications:

Related Experiment Videos

  • Segmental resection guided by physiological studies may be a superior surgical option for selected constipation patients.
  • This tailored approach potentially offers improved symptom control and reduced adverse effects compared to colectomy.