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Outcome of segmenta...
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Lundin, ErikUppsala universitet,Kolorektalkirurgi
(författare)
Outcome of segmental colonic resection for slow-transit constipation.
- Artikel/kapitelEngelska2002
Förlag, utgivningsår, omfång ...
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2002-11-29
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Oxford University Press (OUP),2002
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LIBRIS-ID:oai:DiVA.org:uu-289169
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-289169URI
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https://doi.org/10.1046/j.1365-2168.2002.02213.xDOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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BACKGROUND: The standard surgical treatment for slow-transit constipation (STC) is subtotal colectomy and ileorectal anastomosis. A segmental resection may serve the same purpose, but with a reduced risk of side-effects such as diarrhoea or incontinence. The aim of this study was to evaluate the functional results following segmental resection in a consecutive series of patients with STC.METHODS: Selection criteria included prolonged segmental transit on oral 111In-labelled diethylene triamine penta-acetic acid scintigraphic transit study, and disabling symptoms resistant to medical therapy and treatment of outlet obstruction. Twenty-eight patients (26 women, median age 52 years) were treated with segmental resection and followed prospectively with a validated questionnaire.RESULTS: After a median of 50 (range 16-78) months, 23 patients were pleased with the outcome. The median (range) stool frequency increased from 1 (0-7) to 7 (0-63) per week (P < 0.001). The number of patients passing hard stools and straining excessively decreased (P = 0.016 and P = 0.041, respectively). The median incontinence score was unchanged. Rectal sensory thresholds were higher in patients in whom the treatment failed (P < 0.001).CONCLUSION: With a symptomatic relief comparable to that after ileorectal anastomosis and less severe side-effects, segmental colectomy may be a better alternative for selected patients with STC. Thorough preoperative evaluation is important and impaired rectal sensation may predict a poor outcome.
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Karlbom, Urban
(författare)
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Påhlman, LarsUppsala universitet,Kolorektalkirurgi(Swepub:uu)larspahl
(författare)
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Graf, WilhelmUppsala universitet,Kolorektalkirurgi(Swepub:uu)wilhgraf
(författare)
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Uppsala universitetKolorektalkirurgi
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:British Journal of Surgery: Oxford University Press (OUP)89:100007-13231365-2168
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