Thiede A, Kraemer M, Sailer M, Fuchs K H
Chirurgische Klinik und Poliklinik, Julius-Maximilians-Universität Würzburg.
Zentralbl Chir. 1999;124(9):812-7.
This paper reviews diagnostic criteria, indications, and selection criteria for surgical therapy in chronic constipation. Special emphasis is laid on surgical therapy of pelvic outlet obstruction. Colonic resection may be considered as last surgical resort in those few cases where conventional therapeutic measures have been exhausted and an extensive diagnostic protocol based on clearly defined criteria has been followed. This may offer a justifiable therapeutic alternative only in cases where highly symptomatic and refractory colonic inertia (slow transit constipation) is confirmed, and associated outlet obstruction has been excluded.
本文综述了慢性便秘的诊断标准、手术治疗的适应证及选择标准。重点讨论了盆底出口梗阻的手术治疗。在少数常规治疗措施已用尽且遵循了基于明确标准的广泛诊断方案的情况下，结肠切除术可被视为最后的手术手段。只有在确诊为高度症状性且难治性结肠无力（慢传输型便秘）并排除了相关出口梗阻的情况下，这才可能提供合理的治疗选择。
