Laparoscopically Assisted Total Colectomy with J-pouch Formation for Intractable Chronic Constipation due to Hypoganglionosis: A Case Report.
- Author:
Shi Jun YANG
1
;
Eun Jung AHN
;
Sei Hyeog PARK
;
Jong Heung KIM
;
Hye Seon AHN
;
Jong Min PARK
Author Information
1. Department of Surgery, National Medical Center, Seoul, Korea. jmparkgs@gmail.com
- Publication Type:Case Report
- Keywords:
Intractable chronic constipation;
Hypoganglionosis;
Total colectomy
- MeSH:
Colectomy;
Colonic Pouches;
Constipation;
Humans;
Male;
Seizures
- From:Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2010;13(2):153-156
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Chronic constipation has been successfully treated with specific medications and bio-feedback therapy. Surgical manipulation for this condition can be an option when non-surgical interventions fail. We report here on a patient who was diagnosed as having intractable chronic constipation with hypoganglionosis. The patient was a 60 year-old male with the history of seizure and diabetes. This patient did not gain any clinical benefits from non-surgical regimens. Therefore, we performed a laparoscopically assisted total colectomy with J-pouch ileorectal anastomosis on this patient. The patient recovered from the surgery without complications and he had normal bowel functions. The postoperative anatomical pathology revealed a hypogaglionosis. In conclusion, a laparoscopically assisted total colectomy for a patient with intractable chronic constipation with hypoganglionosis is a good option and it may be a curative method.
