A novel surgical approach to slow-transit constipation: Report of two cases

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dc.contributor.authorPinedo, George
dc.contributor.authorLeon, Francisca
dc.contributor.authorMolina, Maria Elena
dc.contributor.authorSoto, Gonzalo
dc.contributor.authorLopez, Francisco
dc.contributor.authorZuniga, Alvaro
dc.date.accessioned2024-01-10T12:04:15Z
dc.date.available2024-01-10T12:04:15Z
dc.date.issued2008
dc.description.abstractINTRODUCTION: Slow-transit constipation after proper diagnosis and extensive medical therapy may have a surgical solution. Total abdominal colectomy and ileorectal anastomosis, at our institution, is the surgical procedure of choice. Nonetheless, patients may reject this alternative because of morbidity.
dc.description.abstractDISCUSSION: We report two cases of slow-transit constipation diagnosed after a thorough investigation with two colonic transit tests showing slow-transit constipation, a normal anorectal manometry, balloon expulsion test, small-bowel follow-through, defecography, laboratory and psychologic tests. The patients rejected standard surgical treatment (total colectomy + ileorectal anastomosis). A colonic bypass with an ileorectal anastomosis, leaving the colon in situ, was offered and accepted by the two patients. This was performed laparoscopically liberating the cecum and terminal ileum, transecting the terminal ileum through a small suprapubic incision, and anastomosing the terminal ileum to the rectosigmoid junction intracorporeally. The total surgical time was 50 and 60 minutes, respectively.
dc.description.abstractSUMMARY: Both patients made uneventful recoveries and were discharged on the fourth postoperative day. They have completed four and two months of close follow-up and at present have one to four bowel movements per day with mild abdominal distension and pain. To our knowledge this is the first report of colonic bypass for the treatment of slow-transit constipation.
dc.fechaingreso.objetodigital2024-03-21
dc.format.extent3 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1007/s10350-007-9088-0
dc.identifier.eissn1530-0358
dc.identifier.issn0012-3706
dc.identifier.pubmedidMEDLINE:18034280
dc.identifier.urihttps://doi.org/10.1007/s10350-007-9088-0
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/75738
dc.identifier.wosidWOS:000252294700025
dc.information.autorucMedicina;León F;S/I;19106
dc.information.autorucMedicina;López F;S/I;172119
dc.information.autorucMedicina;Molina M;S/I;102077
dc.information.autorucMedicina;Pinedo G;S/I;1002552
dc.information.autorucMedicina;Soto G;S/I;87128
dc.information.autorucMedicina;Zúñiga A;S/I;99112
dc.issue.numero1
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final141
dc.pagina.inicio139
dc.publisherLIPPINCOTT WILLIAMS & WILKINS
dc.revistaDISEASES OF THE COLON & RECTUM
dc.rightsacceso restringido
dc.subjectslow-transit constipation
dc.subjectcolonic bypass
dc.subjectileorectal anastomosis
dc.subjectDIVERSION-COLITIS
dc.subjectCOLECTOMY
dc.subjectCOLON
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleA novel surgical approach to slow-transit constipation: Report of two cases
dc.typeartículo
dc.volumen51
sipa.codpersvinculados19106
sipa.codpersvinculados172119
sipa.codpersvinculados102077
sipa.codpersvinculados1002552
sipa.codpersvinculados87128
sipa.codpersvinculados99112
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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