Constipation surgery: Difference between revisions
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==Overview== | ==Overview== | ||
[[Surgery]] is not the first-line treatment option for patients with constipation. [[Surgery]] is usually reserved for patients with either rectopexy'','' total [[colectomy]], and subtotal [[colectomy]] with ileorectal anastomosis. | [[Surgery]] is not the first-line treatment option for patients with constipation. [[Surgery]] is usually reserved for patients with either rectopexy'','' total [[colectomy]], and subtotal [[colectomy]] with ileorectal anastomosis. | ||
==Indication== | |||
[[Surgery]] is not the first-line treatment option for patients with constipation. [[Surgery]] is usually reserved for patients with either:<ref name="urlTreatment for Constipation | NIDDK">{{cite web |url=https://www.niddk.nih.gov/health-information/digestive-diseases/constipation/treatment |title=Treatment for Constipation | NIDDK |format= |work= |accessdate=}}</ref><ref name="pmid22114754">{{cite journal| author=Liu LW| title=Chronic constipation: current treatment options. | journal=Can J Gastroenterol | year= 2011 | volume= 25 Suppl B | issue= | pages= 22B-28B | pmid=22114754 | doi= | pmc=3206558 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22114754 }}</ref> | |||
* [[Anorectal anomalies|Anorectal obstruction]] due to: | |||
** [[Rectocele]] | |||
** [[Rectal prolapse]] | |||
* [[Hirschsprung disease]] | |||
* [[Megacolon]] | |||
* Severe slow-transit constipation refractory to medical therapy | |||
==Surgery== | ==Surgery== | ||
Following surgeries may be used in patients with constipation if indicated:<ref name="urlTreatment for Constipation | NIDDK" /><ref name="pmid22114754" /> | |||
* '''Rectopexy'':''''' [[Anorectal anomalies|Anorectal obstruction]] due to [[rectocele]] or [[rectal prolapse]] | * '''Rectopexy'':''''' [[Anorectal anomalies|Anorectal obstruction]] due to [[rectocele]] or [[rectal prolapse]] | ||
* '''Total [[colectomy]]'':''''' [[Hirschsprung disease]] or [[megacolon]] | * '''Total [[colectomy]]'':''''' [[Hirschsprung disease]] or [[megacolon]] | ||
Revision as of 19:20, 10 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]
Overview
Surgery is not the first-line treatment option for patients with constipation. Surgery is usually reserved for patients with either rectopexy, total colectomy, and subtotal colectomy with ileorectal anastomosis.
Indication
Surgery is not the first-line treatment option for patients with constipation. Surgery is usually reserved for patients with either:[1][2]
- Anorectal obstruction due to:
- Hirschsprung disease
- Megacolon
- Severe slow-transit constipation refractory to medical therapy
Surgery
Following surgeries may be used in patients with constipation if indicated:[1][2]
- Rectopexy: Anorectal obstruction due to rectocele or rectal prolapse
- Total colectomy: Hirschsprung disease or megacolon
- Subtotal colectomy with ileorectal anastomosis: Severe slow-transit constipation refractory to medical therapy
References
- ↑ 1.0 1.1 "Treatment for Constipation | NIDDK".
- ↑ 2.0 2.1 Liu LW (2011). "Chronic constipation: current treatment options". Can J Gastroenterol. 25 Suppl B: 22B–28B. PMC 3206558. PMID 22114754.