Surgical management for slow-transit constipation

Annales de chirurgie
A AlvesY Panis

Abstract

Less than 10% of patients with slow-transit constipation require surgical management after failure of medical treatment. Preoperative clinical, psychological and colorectal routine investigations (ie colonic transit test, anorectal manometry and defecography) are mandatory in order to highly select the patients. To day, the surgical management of slow-transit constipation consists of subtotal colectomy with ileorectal anastomosis, eventually by laparoscopic approach. Although, surgical management improves slow-transit constipation in two thirds of the patients, small bowel obstruction, abdominal pain and constipation recurrence can occur in 25%, 50%, and 10% of the patients respectively.

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Citations

Apr 17, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·D BiyaniI Maclennan
Nov 23, 2006·Diseases of the Colon and Rectum·M PoirierR Nelson
Apr 30, 2019·Journal of Medical Case Reports·Elise LuponSixte Sondji

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