Colectomy for idiopathic megarectum and megacolon.

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Colectomy for idiopathic megarectum and megacolon.

The outcome in 40 patients who underwent colectomy for idiopathic megacolon and megarectum over an 18 year period was evaluated. All patients had a radiologically dilated bowel and a bowel frequency of less than two per week. Twenty two patients had a caecorectal anastomosis, 11 had an ileorectal anastomosis (including one with a previous caecorectal anastomosis and four with a previous sigmoid...

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Idiopathic megarectum and megacolon.

A 56-year-old female with a prior medical history of congenital mental retardation, hypercholesterolemia, and hypothyroidism consulted for severe constipation refractory to laxatives, which required enemas for evacuation, associated with abdominal distension and weight loss –8 kg over the last six months–. Physical examination revealed a hard, long, rounded mass measuring 8 x 10 cm in the centr...

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Pathology of idiopathic megarectum and megacolon.

BACKGROUND The aetiology and pathology of both idiopathic megarectum and idiopathic megacolon are unknown. In particular, it is unknown whether there are abnormalities involving enteric nerves or smooth muscle. METHODS Resected tissue was examined from 24 patients who underwent surgery for idiopathic megarectum, from six patients who had tissue resected for idiopathic megacolon, and 17 contro...

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Clinical features of idiopathic megarectum and idiopathic megacolon.

BACKGROUND Dilatation of the rectum and/or colon, in the absence of demonstrable organic disease, is an uncommon and poorly characterised condition. AIMS To characterise the clinical and diagnostic features, and response to treatment, of patients with idiopathic megarectum (IMR) and idiopathic megacolon (IMC). METHODS A retrospective review was undertaken of all patients operated on for the...

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Outcome of colectomy for severe idiopathic constipation.

Severe idiopathic constipation affects predominantly young women. We have evaluated the results of colectomy in 44 women with a normal diameter colon and with a median bowel frequency of once per four weeks. The operations were done in one hospital over a 15 year period. After operation 22 patients had normal bowel frequency, 17 diarrhoea (greater than three bowel actions/day), and five persist...

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ژورنال

عنوان ژورنال: Gut

سال: 1991

ISSN: 0017-5749

DOI: 10.1136/gut.32.12.1538