Diagnosis and treatment of 27 patients with redundant colon
10.3760/cma.j.issn.1673-4203.2012.07.007
- VernacularTitle:结肠冗长症27例的诊断及治疗
- Author:
Changping YANG
;
Hongrong GUO
;
Jinlin CAO
;
Renrong YANG
;
Haiying GUO
;
Guibao LIU
- Publication Type:Journal Article
- Keywords:
Constipation;
Colonic diseases;
Colectomy;
Diagnosis;
Treatment
- From:
International Journal of Surgery
2012;39(7):450-452,505
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the early diagnosis and effective treatment of redundant colon,and to reduce the misdiagnosis and shorten the medical treatment time before the diagnosis.MethodsClinical data of twentyseven patients with redundant colon from February 2005 to December 2011 were retrospectively analyzed in General Surgery Department of 117th and 322th People's Liberation Army Hospital.ResultsThe clinical symptoms of 27 patients nainly as early recurrent intractable constipation,bloating,abdominal pain,weight loss and other symptoms,were likely to be in a misdiagnosis.In addition to three patients with redundant sigmoid colon concurrent reverse came to hospital emergency with surgery,twenty-four cases' symptoms persisted and came to many hospitals with medical treatment up to 32 years,diagnosed by the out-patient barium enema.After surgical resection disease bowel,7-11 months follow-up,patients abdominal distension,abdominal pain,constipation,weight loss and other systemic unwell symptoms disappeared.ConclusionThis disease is rare,we must raise the medical staff's awareness of this disease.X-ray examination with barium enema is the best way to diagnose this disease.After diagnosis,surgery is the most effective treatment.
