Gil HGE, García ÁJ, Trejo TR, Angulo PV, Godínez FLS

Language: Spanish
References: 14
Page: 162-165
PDF size: 82.21 Kb.

ABSTRACT

Objective: Chronic constipation is a disease with a frequency close to 20%, and is more common in the elderly. Patients with chronic constipation usually come to surgery after failed attempts with conservative medical management. Case description: A 19 year old woman with decreased bowel movements, frequency of 3 times per week and increased consistency of stools, she had undergone many different medical treatments based on prokinetics, antiemetics and laxatives, diet with high fiber, with no improvement. In physical examination peristalsis is diminished in intensity, frequency of 2 strokes per minute, normotonic anal sphincter, the barium enema reports dolicho-sigmoid colon, laparoscopic resection is performed with linear staplers and side to side anastomosis. Histopathological examination of the specimen revealed the existence of adhering fat and partially flattened folds. The postoperative course was satisfactory. Conclusion: Surgical treatment is feasible for patients with chronic constipation without good response to conservative treatment and significant impairment in their quality of life, with low mortality and morbidity. The laparoscopic approach in this case, showed excellent results without complications and long-term.

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