| 篇名 |
Outcome of Colectomy for Combined Colonic Inertia and Pelvic Floor Dysfunction |
| 作者 |
Chung-Wei Fan, Jeng-Yi Wang, Chung-Rong Chang-Chien, Jinn-Shiun Chen, Kuan-Cheng Hsu, Rei-Ping Tang, Jy-Ming Chiang, Chien-Yuh Yeh, Pau-Shiu Hsieh |
| 卷期/出版年月 |
34卷4期 (2001/8) |
| 頁次 |
185-191 |
| 摘要 |
Optimal treatment for severe constipation caused by combined colonic inertia (CI) and pelvie floor dysfunction (PFD) is controversial. This study evaluated the outcome of total colectomy alone for patients with combined colonic inertia and pelvie floor dysfunction. From 1994 to 1998, forteen patients who had a combination of colonic inertia and pelvic floor dysfunction as diagnosed by transit marker study, anorectal manomertry, and defecographty were enrolled in the study. Total colectomy with ileorectostomy alone was performed in all aptients. Postoperatively, stool frequency significantly increased from 1.8 + 0.7 times per week to 21 + 9.6 times per week (p=0.022). The incidence of abdominal pain significantly decreased to 21.4% (p=1.127) and the incidence of abdominal bloating significantly decreased from 71% to 21% (p=0.022). The incidence of abdominal bloating significaltly decreased from 71% to 21% (p=0.027) and the incidence of abdominal bloating significaltly decreased from 71% to 21% (p=0.011). Difficult evacuation was not noted in these patients. Four patients (28%)experienced small bowel obstruction and one patient required laparotomy for division of adhesions. Treatment satisfaction was achieved in 85.7% of the patients. The results of this study demonstrate that total colectomy alone can improve the abdominal symptoms in severely constipated patients when the presenting symptoms are combined colonic inertia and pelvie floor dysfunction. Pelvic floor dysfunction is not a contratindication for colectomy in patients with combined CI and PFD. |
| 關鍵詞 |
colonic inertia, pelvie floor dyfunction, total colectomy |
| 分類 |
Original articles |
