Streuli H K, Fartab M
Schweiz Med Wochenschr. 1977 Jul 2;107(26):907-12.
Primary chronic constipation is an ailment of modern civilisation. Severe forms can seldom be treated satisfactorily by conservative methods, and in these cases surgical intervention must be considered. This consists of subtotal colectomy with ileosigmoidostomy. Partial resection and hemicolectomy do not afford the desired result. A report is presented on 28 patients who had subtotal colectomy for chronic constipation during the period 1959 to 1976. Immediate and long-term results have proved to be surprisingly good. Unsatisfactory conditions are to be expected in patients with strong complementary psychoneurotic symptoms. Preoperative investigations must be carried out with precision, morphological changes accurately identified and treated by differentiated surgical methods. The indication for colectomy in cases of chronic constipation must be strictly established, if possible in collaboration with a gastroenterologist.
原发性慢性便秘是现代文明社会的一种疾病。严重的病例很少能通过保守方法得到满意治疗，在这些情况下必须考虑手术干预。手术方式为结肠次全切除术加回肠乙状结肠吻合术。部分切除术和半结肠切除术无法达到预期效果。本文报告了1959年至1976年间因慢性便秘接受结肠次全切除术的28例患者。即时和长期效果出奇地好。有强烈互补性精神神经症状的患者可能会出现不尽人意的情况。术前检查必须精确进行，准确识别形态学变化并采用个体化手术方法进行治疗。慢性便秘患者行结肠切除术的指征必须严格确定，如有可能应与胃肠病学家合作。
