Belmonte MC, García RA, Chávez RJJ, Ruiz-Galindo GH

Language: Spanish
References: 11
Page: 131-136
PDF size: 317.62 Kb.

ABSTRACT

Approximately 4 million people suffer from chronic constipation, accounting for one of the most common complaints received by a Colon and Rectum Surgeon. Constipation is considered as a symptom with a difficult treatment and for which a careful diagnosis must be established, requiring thorough physiologic examination in selected cases. Incapacitating constipation is frequently treated by enemas and laxatives with an increasing acceptance for surgical treatment, considering the laparoscopic approach as a feasible and safe alternative. In the following paper we discuss the story of a 23 year-old female with a history of chronic constipation , who after undergoing a complete physiologic examination is taken to a complete abdominal laparoscopic colectomy with ileo-rectal anastomosis, being to our knowledge the first reported case in our country.

REFERENCES

1. Rotholz N, Wexner S. Surgical treatment of constipation and fecal incontinence. Gastroenterology Clinics 2001; 30: 340-58.

2. Agachan F, Chen T, Pfeifer J. A constipation scoring system to simplify evaluation and management of constipated patients. Dis Colon Rectum 1996; 39: 681-685.

3. Beck DE, Fazio VW, Jagelman DG. Surgical management of colonic inertia. South Med J 1989; 82: 305-309.

4. Metcalf A. Laparoscopic colectomy. Surgical Clinics of North America 2000; 80: 1321-1325.

5. Franklin ME, Rosenthal D, Abrego M. Prospective evaluation of open versus laparoscopic colon surgery, five year results. Dis Colon Rectum 1996; 39: 35-46.

6. Martelli H, Devroede G, Arhan P et al Parameters of normal bowel motility in normal man. Gastroenterology 1990; 75: 612-618.

7. Fielding GA, Lumley J, Nathanson L et al. Laparoscopic colectomy. Surg Endosc 1994; 11: 745-749.

8. Huscher C, Silecchia G, Croce E et al. Laparoscopic colorectal resection: A multicenter Italian study. Surg Endosc 1995; 10: 875-879.

9. Lumley JW, Fielding GA, Nathanson LK. Laparoscopic assisted colorectal surgery: Lessons learned from 240 consecutive patients. Dis Colon Rectum 1992; 39: 155-159.

10. Ramos JM, Beart RW, Goes R. Role of laparoscopy in colorectal surgery: A prospective evaluation of 200 cases. Dis Colon Rectum 1995; 38: 494-501.

11. Milsom JW, Ludwig KA, Fazio VW. Laparoscopic total abdominal colectomy with ileorectal anastomosis for familial adenomatous polyposis. Dis Colon Rectum 1997; 40: 675-678.