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  • Tsimogiannis, KonstantinosUppsala universitet,Gastrointestinalkirurgi (författare)

Long-term outcome after segmental colonic resection for slow transit constipation

  • Artikel/kapitelEngelska2019

Förlag, utgivningsår, omfång ...

  • SPRINGER,2019
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-385967
  • urn:nbn:se:uu:diva-385967urn
  • https://doi.org/10.1007/s00384-019-03283-5DOI

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  • Språk:engelska
  • Sammanfattning på:engelska

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  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

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  • gratis
  • gratis
  • PurposeColectomy with ileorectal anastomosis (IRA) is the most common surgical procedure for slow transit constipation (STC). A hemicolectomy has been suggested as an alternative to IRA with good short-term results. However, long-term results are unknown. The aim of this study was to evaluate the long-term results after hemicolectomy as a treatment for STC.MethodsFifty patients with STC were selected for right- or left-sided hemicolectomy after evaluation with colonic scintigraphy from 1993 to 2008. Living patients (n=43) received a bowel function questionnaire and a questionnaire about patient-reported outcome.ResultsAfter a median follow-up of 19.8years, 13 patients had undergone rescue surgery (n=12) or used irrigation (n=1) and were classified as failures. In all, 30 were evaluable for functional outcome and questionnaire data for 19 patients (due to 11 non-responding) could be analysed. Two reported deterioration after several years and were also classified as failures. Median stool frequency remained increased from 1 per week at baseline to 5 per week at long-term follow-up (p=0.001). Preoperatively, all patients used laxatives, whereas 12 managed without laxatives at long-term follow-up (p=0.002). There was some reduction in other constipation symptoms but not statically significant. In the patients' global assessment, 10 stated a very good result, seven a good result and two a poor result.ConclusionsHemicolectomy for STC increases stool frequency and reduces laxative use. Long-term success rate could range between 17/50 (34%) and 35/50 (70%) depending on outcome among non-responders.

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Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Karlbom, UrbanUppsala universitet,Gastrointestinalkirurgi(Swepub:uu)urbakarl (författare)
  • Lundin, ErikUppsala universitet,Gastrointestinalkirurgi(Swepub:uu)eriklund (författare)
  • Graf, WilhelmUppsala universitet,Gastrointestinalkirurgi(Swepub:uu)wilhgraf (författare)
  • Uppsala universitetGastrointestinalkirurgi (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:International Journal of Colorectal Disease: SPRINGER34:6, s. 1013-10190179-19581432-1262

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Tsimogiannis, Ko ...
Karlbom, Urban
Lundin, Erik
Graf, Wilhelm
Om ämnet
MEDICIN OCH HÄLSOVETENSKAP
MEDICIN OCH HÄLS ...
och Klinisk medicin
och Gastroenterologi
MEDICIN OCH HÄLSOVETENSKAP
MEDICIN OCH HÄLS ...
och Klinisk medicin
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