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KMID : 0978820100130020153
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2010 Volume.13 No. 2 p.153 ~ p.156
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Laparoscopically Assisted Total Colectomy with J-pouch Formation for Intractable Chronic Constipation due to Hypoganglionosis: A Case Report
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Yang Shi-Jun
Ahn Eun-Jung
Park Sei-Hyeog
Kim Jong-Heung
Ahn Hye-Seon
Park Jong-Min
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Abstract
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Chronic constipation has been successfully treated with specific medications and bio-feedback therapy. Surgical manipulation for this condition can be an option when non-surgical interventions fail. We report here on a patient who was diagnosed as having intractable chronic constipation with hypoganglionosis. The patient was a 60 year-old male with the history of seizure and diabetes. This patient did not gain any clinical benefits from non-surgical regimens. Therefore, we performed a laparoscopically assisted total colectomy with J-pouch ileorectal anastomosis on this patient. The patient recovered from the surgery without complications and he had normal bowel functions. The postoperative anatomical pathology revealed a hypogaglionosis. In conclusion, a laparoscopically assisted total colectomy for a patient with intractable chronic constipation with hypoganglionosis is a good option and it may be a curative method.
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KEYWORD
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Intractable chronic constipation, Hypoganglionosis, Total colectomy
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