Biological valves (seromiotomy) for treatment of clinically intractable diarrhea post total colectomy due to colonic inertia.
نویسندگان
چکیده
The colonic inertia is a cause of severe chronic constipation, causing slow intestinal transit in the whole extension of the large intestine. This disorder is still poorly understood, the pathophysiology has not been defined and there is disabled access to propaedeutics. It occurs more in women and is associated with improper diet, sedentary lifestyle, drugs, endocrine and metabolic alterations, colonic diseases, neurological and psychiatric disorders and idiopathic causes9. Surgical treatment is performed in case of failure of conservative treatment when there is altered colonic transit with normal physiological study of the pelvis. A total abdominal colectomy with ileorectal anastomosis is the procedure of choice for these patients. Surgical treatment is exception conduct due to complications and morbidity of removal of the large intestine. The evaluation of the results of the transaction made by patients is classified as good and excellent in 89% of cases and dissatisfaction is due to the recurrence of constipation, intractable diarrhea, persistent abdominal pain and bloating. Despite the relief of constipation be successful, the quality of life after colectomy is significantly reduced. The literature shows few results of the operation long term. The scope of this report is to present a surgical technique that can be applied in patients undergoing total colectomy with intractable diarrhea.
منابع مشابه
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1. Pemberton JH, Rath DM, Ilstrup DM. Evaluation and surgical treatment of severe chronic constipation. Ann Surg 1991;214:403-11. 2. Nam YS, Pikarsky AJ, Wexner SD, Singh JJ, Weiss EG, Nogueras JJ, et al. Reproducibility of colonic transit study in patients with chronic constipation. Dis Colon Rectum 2001;44:86-92. 3. Kamm MA, Hawley PR, Lennard-Jones JE. Outcome of colectomy for severe idiopat...
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ورودعنوان ژورنال:
- Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery
دوره 26 4 شماره
صفحات -
تاریخ انتشار 2013