onr:"swepub:oai:DiVA.org:uu-289169"
Search: onr:"swepub:oai:DiVA.org:uu-289169" > Outcome of segmenta...
- 1 of 1
- Previous record
- Next record
- To hitlist
- Lundin, ErikUppsala universitet,Kolorektalkirurgi (author)
Outcome of segmental colonic resection for slow-transit constipation.
- Article/chapterEnglish2002
Publisher, publication year, extent ...
- 2002-11-29
- Oxford University Press (OUP),2002
- printrdacarrier
Numbers
- LIBRIS-ID:oai:DiVA.org:uu-289169
- https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-289169URI
- https://doi.org/10.1046/j.1365-2168.2002.02213.xDOI
Supplementary language notes
- Language:English
- Summary in:English
Part of subdatabase
- SwePubSwePub
Classification
Notes
- 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.
Added entries (persons, corporate bodies, meetings, titles ...)
- Karlbom, Urban (author)
- Påhlman, LarsUppsala universitet,Kolorektalkirurgi(Swepub:uu)larspahl (author)
- Graf, WilhelmUppsala universitet,Kolorektalkirurgi(Swepub:uu)wilhgraf (author)
- Uppsala universitetKolorektalkirurgi (creator_code:org_t)
Related titles
- In:British Journal of Surgery: Oxford University Press (OUP)89:100007-13231365-2168
Internet link
Find in a library
- British Journal of Surgery (Search for host publication in LIBRIS)
To the university's database
- 1 of 1
- Previous record
- Next record
- To hitlist
Find more in SwePub
- By the author/editor
- Lundin, Erik
- Karlbom, Urban
- Påhlman, Lars
- Graf, Wilhelm
- Articles in the publication
- British Journal ...
- By the university
- Uppsala University
Search outside SwePub
- Extend your search to:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - National Library Systems
- LIBRIS.kb.se
