Portal de Periódicos da CAPES

Surgical Management of Constipation

2005; Thieme Medical Publishers (Germany); Volume: 18; Issue: 02 Linguagem: Inglês

10.1055/s-2005-870888

1530-9681

David E. Beck,

Intestinal Malrotation and Obstruction Disorders

For the select small number of constipated patients who cannot be managed medically, surgical options should be considered. Increases in our knowledge of colorectal physiology and experience have fostered improvements in evaluation and surgical management of patients. Currently, patients with refractory colonic inertia are offered total abdominal colectomy and ileorectal anastomosis. With proper selection of patients, the results have been excellent for resolving the frequency and quality of bowel movements. However, symptoms such as bloating and abdominal pain, which may be related to irritable bowel syndrome rather than the colonic inertia, may persist.