Idiopathic chronic colonic pseudo-obstruction
- VernacularTitle:原发性慢性假性结肠梗阻诊治探讨
- Author:
Shuhui YIN
;
Ronggui MENG
;
Chuangang FU
;
Enda YU
;
Long CUI
;
Dehong YU
- Publication Type:Journal Article
- Keywords:
Intestinal pseudo-obstruction;
Constipation;
Diagnosis, differential
- From:
Chinese Journal of General Surgery
2001;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diagnosis and treatment of idiopathic chronic colonic pseudo-obstruction(ICCPO). MethodsIn this study 69 patients admitted for “constipation” were finally found falling into one of the 4 groups: 11 cases of outlet obstructive constipation, 16 cases of slow transit constipation, 26 cases of mixed type, and 16 of ICCPO. ResultsThe main symptoms of these 16 ICCPO cases were intractable constipation, compared with that in other entities ICCPO tends to affect patients at younger age, with shorter clinical course, and often needs surgical intervention due to intractable bowel obstruction, usually total colectomy. ConclusionsICCPO, STC and mixed constipation are different clinical entities. The differentiation of ICCPO from other entities is sometimes very difficult especially when patients are suffering from acute onset of bowel obstruction.
