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Long-term outcome a...
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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 ...
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2019-04-01
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SPRINGER,2019
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electronicrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-385967
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-385967URI
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https://doi.org/10.1007/s00384-019-03283-5DOI
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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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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 ...)
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Karlbom, UrbanUppsala universitet,Gastrointestinalkirurgi(Swepub:uu)urbakarl
(författare)
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Lundin, ErikUppsala universitet,Gastrointestinalkirurgi(Swepub:uu)eriklund
(författare)
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Graf, WilhelmUppsala universitet,Gastrointestinalkirurgi(Swepub:uu)wilhgraf
(författare)
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Uppsala universitetGastrointestinalkirurgi
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:International Journal of Colorectal Disease: SPRINGER34:6, s. 1013-10190179-19581432-1262
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