Related Experiment Videos
Outlet syndrome: is there a surgical option?
Journal of the Royal Society of Medicine
|July 1, 1984
Summary
This study investigated 25 constipation patients, finding outlet syndrome and slow transit constipation. Colectomy improved slow transit constipation, but pelvic floor division showed limited success for outlet syndrome.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Constipation is a common condition with various underlying causes.
- Differentiating between slow transit constipation and outlet syndrome is crucial for effective treatment.
Purpose of the Study:
- To investigate the physiological basis of constipation in a cohort of patients.
- To evaluate the efficacy of different surgical interventions for specific constipation subtypes.
Main Methods:
- 25 patients with constipation underwent investigation.
- Surgical outcomes were assessed following colectomy with ileorectal anastomosis or partial pelvic floor division.
Main Results:
- Out of 25 patients, 6 had outlet syndrome, 5 had slow transit constipation, and 8 had both.
- Colectomy and ileorectal anastomosis yielded good results for slow transit constipation.
- Partial pelvic floor division offered limited long-term improvement for outlet syndrome (1 of 7 patients).
Conclusions:
- Slow transit constipation can be effectively managed with colectomy and ileorectal anastomosis.
- Partial pelvic floor division is not a consistently effective treatment for outlet syndrome.