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Results of colectomy for severe idiopathic constipation in women (Arbuthnot Lane's disease)
Abstract
Twenty-one women with slow-transit constipation have been treated by bowel resection. All had a normal barium enema, but an increased colonic transit time. Pathological examination of the resected colons showed no evidence of aganglionosis. Some of the patients were treated by segmental colonic resection, anorectal myectomy, anal stretch or internal sphincterectomy but were not helped. Colectomy with ileorectal or caecorectal anastomosis gave the best results; on balance, ileorectal anastomosis seems preferable. Of sixteen patients who underwent colectomy, ten subsequently had normal bowel function and four were markedly improved. The spontaneous bowel frequency in this group rose from 0·3 ± 0·1 (s.e.m.) to 21·7 ± 8·3 weekly (P < 0·001).
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Citations
Cited by
American Gastroenterological Association Technical Review on Constipation
Bharucha, A. E., Pemberton, J. H., & Locke, G. R. (2013) · Gastroenterology · doi:10.1053/j.gastro.2012.10.028 · Cited by 909
Severe chronic constipation of young women: 'idiopathic slow transit constipation'.
Preston, D. M., & Lennard-Jones, J. E. (1986) · Gut · doi:10.1136/gut.27.1.41 · Cited by 403
Self-citationDiagnosis and management of chronic constipation in adults
Rao, S. S. C., Rattanakovit, K., & Patcharatrakul, T. (2016) · Nature Reviews Gastroenterology & Hepatology · doi:10.1038/nrgastro.2016.53 · Cited by 337
Long-term results of surgery for chronic constipation
Nyam, D. C. N. K., Pemberton, J. H., Ilstrup, D. M., & Rath, D. M. (1997) · Diseases of the Colon & Rectum · doi:10.1007/bf02050415 · Cited by 296
Outcome of colectomy for severe idiopathic constipation.
Kamm, M. A., Hawley, P. R., & Lennard-Jones, J. E. (1988) · Gut · doi:10.1136/gut.29.7.969 · Cited by 253
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Metadata
- Authors
- Preston, D. M., Hawley, P. R., Lennard-Jones, J. E., & Todd, I. P.
- Venue
- Journal of British Surgery
- Publisher
- Oxford University Press (OUP)
- Published
- 1984-07-01
- Volume
- 71
- Issue
- 7
- Pages
- 547-552
- ISSN
- 0007-1323 (ISSN-L)
- 1365-2168
- OpenAlex
- W2091004918
- Cited by
- 170
- References
- 0
- FWCI
- 13.79
- Type
- journal article
- Language
- en
- Open access
- closed
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- Preston, D. M., Hawley, P. R., Lennard-Jones, J. E., & Todd, I. P. (1984). Results of colectomy for severe idiopathic constipation in women (Arbuthnot Lane's disease). Journal of British Surgery. https://doi.org/10.1002/bjs.1800710726
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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