Constipation surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]
Overview
Surgery is not the first-line treatment option for patients with constipation. Surgery is usually reserved for patients with either rectopexy, total colectomy, and subtotal colectomy with ileorectal anastomosis.
Indication
Surgery is not the first-line treatment option for patients with constipation. Surgery is usually reserved for patients with either:[1][2]
- Anorectal obstruction due to:
- Hirschsprung disease
- Megacolon
- Severe slow-transit constipation refractory to medical therapy
Surgery
Following surgeries may be used in patients with constipation if indicated:[1][2]
- Rectopexy: Anorectal obstruction due to rectocele or rectal prolapse
- Total colectomy: Hirschsprung disease or megacolon
- Subtotal colectomy with ileorectal anastomosis: Severe slow-transit constipation refractory to medical therapy
References
- ↑ 1.0 1.1 "Treatment for Constipation | NIDDK".
- ↑ 2.0 2.1 Liu LW (2011). "Chronic constipation: current treatment options". Can J Gastroenterol. 25 Suppl B: 22B–28B. PMC 3206558. PMID 22114754.