Gilbert K P, Lewis F G, Billingham R P, Sanderson E
West J Med. 1984 Apr;140(4):569-72.
A 30-year retrospective review of 544,354 Seattle area hospital admissions yielded 25 patients who underwent surgical therapy for the relief of intractable idiopathic constipation. All patients were refractory to conventional medical treatment consisting of the daily use of laxatives, cathartics, emollients or enemas. Long-term follow-up was available for 13 of the 25 patients. All 13 patients had clinical improvement as a result of the operation. This confirms results reported by other authors. Subtotal colectomy and left hemicolectomy are the procedures generally favored.
对西雅图地区544354例医院住院病例进行的30年回顾性研究发现，有25例患者接受了手术治疗以缓解顽固性特发性便秘。所有患者对由每日使用泻药、泻剂、润肤剂或灌肠剂组成的传统药物治疗均无效。25例患者中有13例进行了长期随访。所有13例患者术后临床症状均有改善。这证实了其他作者报道的结果。一般倾向于采用次全结肠切除术和左半结肠切除术。
