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Sökning: onr:"swepub:oai:DiVA.org:uu-385967" > Long-term outcome a...
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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 03666naa a2200409 4500 | |
| 001 | oai:DiVA.org:uu-385967 | |
| 003 | SwePub | |
| 008 | 190619s2019 | |||||||||||000 ||eng| | |
| 024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3859672 URI |
| 024 | 7 | a https://doi.org/10.1007/s00384-019-03283-52 DOI |
| 040 | a (SwePub)uu | |
| 041 | a engb eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a ref2 swepub-contenttype |
| 072 | 7 | a art2 swepub-publicationtype |
| 100 | 1 | a Tsimogiannis, Konstantinosu Uppsala universitet,Gastrointestinalkirurgi4 aut0 (Swepub:uu)konts764 |
| 245 | 1 0 | a Long-term outcome after segmental colonic resection for slow transit constipation |
| 264 | c 2019-04-01 | |
| 264 | 1 | b SPRINGER,c 2019 |
| 338 | a electronic2 rdacarrier | |
| 520 | a 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. | |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Gastroenterologi0 (SwePub)302132 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Gastroenterology and Hepatology0 (SwePub)302132 hsv//eng |
| 653 | a Slow transit constipation | |
| 653 | a Segmental resection | |
| 653 | a Colonic functional disorders | |
| 653 | a Long-term follow-up | |
| 700 | 1 | a Karlbom, Urbanu Uppsala universitet,Gastrointestinalkirurgi4 aut0 (Swepub:uu)urbakarl |
| 700 | 1 | a Lundin, Eriku Uppsala universitet,Gastrointestinalkirurgi4 aut0 (Swepub:uu)eriklund |
| 700 | 1 | a Graf, Wilhelmu Uppsala universitet,Gastrointestinalkirurgi4 aut0 (Swepub:uu)wilhgraf |
| 710 | 2 | a Uppsala universitetb Gastrointestinalkirurgi4 org |
| 773 | 0 | t International Journal of Colorectal Diseased : SPRINGERg 34:6, s. 1013-1019q 34:6<1013-1019x 0179-1958x 1432-1262 |
| 856 | 4 | u https://doi.org/10.1007/s00384-019-03283-5y Fulltext |
| 856 | 4 | u https://uu.diva-portal.org/smash/get/diva2:1327498/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print |
| 856 | 4 | u https://link.springer.com/content/pdf/10.1007/s00384-019-03283-5.pdf |
| 856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-385967 |
| 856 | 4 8 | u https://doi.org/10.1007/s00384-019-03283-5 |
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