SwePub
Sök i SwePub databas

  Utökad sökning

Träfflista för sökning "onr:"swepub:oai:DiVA.org:uu-385967" "

Sökning: onr:"swepub:oai:DiVA.org:uu-385967"

  • Resultat 1-1 av 1
Sortera/gruppera träfflistan
   
NumreringReferensOmslagsbildHitta
1.
  • Tsimogiannis, Konstantinos, et al. (författare)
  • Long-term outcome after segmental colonic resection for slow transit constipation
  • 2019
  • Ingår i: International Journal of Colorectal Disease. - : SPRINGER. - 0179-1958 .- 1432-1262. ; 34:6, s. 1013-1019
  • Tidskriftsartikel (refereegranskat)abstract
    • 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.
  •  
Skapa referenser, mejla, bekava och länka
  • Resultat 1-1 av 1
Typ av publikation
tidskriftsartikel (1)
Typ av innehåll
refereegranskat (1)
Författare/redaktör
Graf, Wilhelm (1)
Karlbom, Urban (1)
Lundin, Erik (1)
Tsimogiannis, Konsta ... (1)
Lärosäte
Uppsala universitet (1)
Språk
Engelska (1)
Forskningsämne (UKÄ/SCB)
Medicin och hälsovetenskap (1)
År
 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy