SLOW TRANSIT OF THE COLON ASSOCIATED WITH SEVERE CONSTIPATION AFTER THE RIPSTEIN OPERATION - A CLINICAL AND PHYSIOLOGICAL STUDY

被引:24
作者
DOLK, A [1 ]
BRODEN, G [1 ]
HOLMSTROM, B [1 ]
JOHANSSON, C [1 ]
NILSSON, BY [1 ]
机构
[1] SODER SJUKHUSET,KAROLINSKA INST,DEPT CLIN NEUROPHYSIOL,S-10064 STOCKHOLM,SWEDEN
关键词
Internal rectal procidentia; Postoperative constipation; Rectal prolapse; Ripstein operation; Slow transit of the colon;
D O I
10.1007/BF02052327
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Eighteen patients with severe constipation after undergoing the Ripstein operation for rectal prolapse (n = 11) or internal rectal procidentia (n = 7) were studied with defecography, anorectal manometry, electromyography of the external anal sphincter and the puborectalis muscle, colonic transit time, and blood tests. Thirteen patients had slow-transit constipation. None showed a completely normal pattern in the parameters studied. The authors emphasize the importance of careful preoperative investigation to identify the patients who have associated colorectal disturbances together with their rectal prolapse or internal rectal procidentia. © 1990 American Society of Colon and Rectal Surgeons.
引用
收藏
页码:786 / 790
页数:5
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