| Theme | Chronic Constipation : A New Classification, Pathophysiology, Diagnosis, Treatment | |
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| Title | Treatment -- Surgical Treatment | |
| Publish Date | 2018/04 | |
| Author | Kazuhiko Yoshioka | Department of Surgery, Kansai Medical University Medical Center |
| Author | Katsuji Tokuhara | Department of Surgery, Kansai Medical University Medical Center |
| [ Summary ] | Patients with chronic constipation have usually been treated conservatively, and surgical intervention has rarely been applied. Surgical procedure could achieve favorable results in some patients. Antegrade continence enema, colectomy, and some surgical treatments for defecatory disorders have been described in clinical guidelines for chronic constipation. Antegrade continence enema such as percutaneous endoscopic cecostomy enables us to avoid performing extensive procedure or stoma formation. Colectomy should be carried out theoretically only for patients with colonic slow transit constipation. Surgical treatments for defecatory disturbance clearly due to rectal prolapse or rectocele could be performed. Since these procedures are highly specialized interventions and serious postoperative complications have been reported, we should be careful while performing them. |
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