Diagnosis and surgical treatment of syndrome of splenic flexure of colon in eighty-one patients
- VernacularTitle:81例结肠脾曲综合征的诊断与外科治疗
- Author:
Weiliang YANG
;
Haogang ZHANG
;
Dongwei ZHANG
;
Zhen WANG
- Publication Type:Journal Article
- Keywords:
Syndrome of splenic flexure of colon?Diagnosis?Surgical procedures
- From:
Chinese Journal of Current Advances in General Surgery
2009;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize diagnosis and surgical treatment of syndrome of splenic flexure of colon(SSFC) .Methods:The clinical data of SSFC in 81 patients between Jan,1987 and Dec,2008 were analysed retrospectively.Results:The main clinical manifestations were repeated abdominal pain,abdominal distension,constipation and chronic incomplete colon obstruction.X-ray barium enema showed that splenic flexure of colon was 7 cm higher than hepatic flexure of colon.The angle of splenic flexure of colon was less than 45 ?.Two patients underwent release of splenic flexure of colon and 3 patients accepted side-to-side anastomosis of splenic flexure of colon which were suitable to old,weak and emergent patients.The effects of these methods were well shorthy after operation,but not in long term(6 months to 2 years) .As to the rest 76 patients,thorough operation were done:subtotal resection of proximal segment colon(14 patients) ,subtotal resection of colon(20 patients) and total resection of colon(42 patients) .Conclusion:The diagnosis of SSFC is depended on clinical manifestations and barium enema.Thorough surgical treatment is the best method including proximal part resection,subtotal resection and total resection of colon.
