Coremans G E
Department of Internal Medicine, University Hospital Gasthuisberg, Leuven, Belgium.
Hepatogastroenterology. 1990 Dec;37(6):588-95.
This paper reviews the methods available for selecting patients with disabling non-Hirschsprung constipation eligible for surgery, and the surgical methods reported. It is concluded that careful evaluation of the patient may help in selecting the most suitable treatment. The demonstration, however, of a specific morphological abnormality would, of itself, not seem to justify surgical correction. The surgical criteria remain to be defined by additional physiological research, and the outcome of the various surgical procedures is always uncertain. Surgery should only be undertaken in patients with disabling symptoms, in whom prolonged conservative treatment has failed completely.
本文综述了可用于选择适合手术治疗的非先天性巨结肠所致致残性便秘患者的方法，以及所报道的手术方法。得出的结论是，对患者进行仔细评估可能有助于选择最合适的治疗方法。然而，特定形态学异常的证明本身似乎并不能成为手术矫正的理由。手术标准仍有待通过进一步的生理学研究来确定，并且各种手术程序的结果始终不确定。手术仅应在出现致残症状且长期保守治疗完全失败的患者中进行。
