Source:http://linkedlifedata.com/resource/pubmed/id/15985235
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
|
| pubmed:dateCreated |
2005-6-29
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| pubmed:abstractText |
Colonic inertia is an uncommon condition, usually occurring in women in the third decade of life. Severity of symptoms may lead some patients to a surgical consultation. This is a retrospective review of 14 patients who underwent laparoscopic subtotal colectomy for colonic inertia, performed by a single surgeon from August 1993 to November 2002. The mean age of the patients was 38.5 years (range 26-50 years); 93% of the patients were women. The common presenting symptoms included abdominal pain (93%), bloating (100%), constipation (100%), and nausea (57%). Median duration of symptoms before surgery was 4.5 years (range 1-30 years). Subtotal colectomy was completed laparoscopically in 13 patients. There was one conversion (7%) because of adhesions. Eleven patients (78.6%) had undergone previous abdominal surgery. The mean operating room time was 153 minutes (range 113-210 minutes). The median time to full bowel action was 2 days. One patient developed postoperative small bowel obstruction that required open exploration. Complete follow-up was available for 11 patients at a median follow-up of 18 months (range 2-96 months). Ninety-one percent of the patients reported excellent satisfaction with surgery, and their bowel movement frequency changed from 1.2 (+/-0.2) per week preoperatives to 17.2 (+/-2.9) per week postoperatively (P < 0.001). Three patients (27%) continued to report abdominal pain and 3 patients (27%) continued to require laxatives postoperatively. Laparoscopic subtotal colectomy provides excellent symptom relief in patients with colonic inertia who do not respond to medical measures.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:status |
MEDLINE
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| pubmed:issn |
1091-255X
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| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
9
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| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
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| pubmed:pagination |
803-8
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| pubmed:dateRevised |
2006-11-15
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| pubmed:meshHeading |
pubmed-meshheading:15985235-Adult,
pubmed-meshheading:15985235-Colectomy,
pubmed-meshheading:15985235-Colonic Diseases, Functional,
pubmed-meshheading:15985235-Constipation,
pubmed-meshheading:15985235-Female,
pubmed-meshheading:15985235-Follow-Up Studies,
pubmed-meshheading:15985235-Gastrointestinal Motility,
pubmed-meshheading:15985235-Humans,
pubmed-meshheading:15985235-Laparoscopy,
pubmed-meshheading:15985235-Length of Stay,
pubmed-meshheading:15985235-Male,
pubmed-meshheading:15985235-Middle Aged,
pubmed-meshheading:15985235-Ontario,
pubmed-meshheading:15985235-Pain, Postoperative,
pubmed-meshheading:15985235-Prospective Studies,
pubmed-meshheading:15985235-Recovery of Function,
pubmed-meshheading:15985235-Robotics,
pubmed-meshheading:15985235-Severity of Illness Index,
pubmed-meshheading:15985235-Surgical Procedures, Minimally Invasive,
pubmed-meshheading:15985235-Treatment Outcome
|
| pubmed:articleTitle |
Laparoscopic subtotal colectomy for colonic inertia.
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| pubmed:affiliation |
Centre for Minimal Access Surgery, McMaster University, Hamilton, Ontario, Canada.
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| pubmed:publicationType |
Journal Article,
Comparative Study
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