The management of the slow transit constipation in the laparoscopic era

Gaspare Gulotta, Giuseppe Salamone, Roberta Tutino, Leo Licari, Anna Trapani, Giovanna Rizzo, Kerengi Kabhuli, Nicolo' Falco, Paolino De Marco

Risultato della ricerca: Article

1 Citazioni (Scopus)

Abstract

The slow transit constipation (STC) is a functional bowel pathology with slow total gut transit time with normal calibre colon in addition to a variety of other systemic symptoms. Patients with an abnormal colonic motility refractory to conservative treatment are regarded as appropriate candidates for surgery. Laparoscopic total colectomy with ileum-rectum anastomosis represents the commonest surgical operation in the treatment of STC, in well selected patients, after failure of conservative treatment. From 2012 to 2016, 8 patients suffering constipation according to Roma III criteria and diagnosed as STC were submitted to a total colectomy in our O.U. We evaluated the long-term post-operative quality of life and the bowel function, specifically the persistence of constipation and the number of daily bowel movements. Based on our results, we consider that the use of minimally invasive total colectomy with an ileum-rectal anastomosis is the procedure of choice in patients with colonic inertia, and should be performed by experts in laparoscopic colorectal surgery offering a satisfying post-operative quality of life with low morbidity and mortality rates.
Lingua originaleEnglish
pagine (da-a)297-302
Numero di pagine6
RivistaIL GIORNALE DI CHIRURGIA
Volume39
Stato di pubblicazionePublished - 2018

All Science Journal Classification (ASJC) codes

  • Surgery

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