Colonic slow transit constipation surgical treatment of.docVIP

 PAGE \* MERGEFORMAT 9 Colonic slow transit constipation surgical treatment of Author: Hong-Yu Gong-liang Hu Fu Nong Yu Peng Keywords: colonic slow transit constipation In recent years, due to changes in diet, in patients with chronic intractable constipation there is a growing trend, colonic slow transit constipation (slow transit constipation STC) causes not fully clear, main clinical manifestations were less stool frequency, and constipation caused by a series of body of physical, psychological disorders, severe cases, affect people’s work and normal life, the current inspection methods rely mainly on colonic transit test. Conservative treatment often poor, subtotal resection in the colon, appendix and the rectum anastomosis (subtotal colectomy with cecorectal anastomosis, CRA) can get a satisfactory clinical effects. Will now be from January 1995 to January 2005 in our hospital surgical treatment of 28 patients with slow transit constipation in patients with the diagnosis and treatment analysis, the report is as follows. A clinical data 1.1 General Information The group, 7 males and 21 females; aged 20 to 66 years, an average of 41.2 years, duration of 4 to 26 years, an average of 15 years. 1.2 Clinical manifestations The initial symptoms manifested as defecation less, 3 ~ 5d range, without a sense of it is intended, after defecation interval gradually extended, multi-accompanied by abdominal distention and abdominal pain, eat less sodium, but no abdominal pain and nausea and vomiting. Some patients with general malaise, and insomnia, memory deterioration, personality change. All patients were taking anthraquinone laxatives history of irritation and tolerability of laxatives a gradual increase in dosage continuously increased to failure. 1.3 Inspection 28 cases underwent colonic transit test and defecography. Defecography showed: There is mild to moderate rectocele in 5 cases, 2 cases associ