Abstract
The standard surgical therapy for severe idiopathic constipation remains total colectomy with ileorectal anastomosis, but approximately 10 percent of patients develop recurrent severe constipation. The authors have performed rectal excision and formation of an ileal reservoir with ileoanal anastomosis in two patients in whom constipation followed colectomy. Both patients experienced symptomatic relief, and in one patient there was objective improvement in transit studies, sensory testing, and proctography. In both patients a permanent ileostomy was avoided.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Arbuthnot Lane W. The results of the operative treatment of chronic constipation. Br Med J 1908;1:126–30.
Kamm MA, Hawley PR, Lennard-Jones JE. Outcome of colectomy for severe idiopathic constipation. Gut 1988;29:969–73.
Hinton JM, Lennard-Jones JE, Young AC. A new method for studying gut transit times using radio-opaque markers. Gut 1969;10:842–7.
Preston DM, Lennard-Jones JE. Severe chronic constipation of young women: “idiopathic slow transit constipation.” Gut 1986;27:41–8.
Barnes PR, Lennard-Jones JE. Balloon expulsion from the rectum in constipation of different types. Gut 1985;26:1049–52.
Turnbull GK, Bartram CI, Lennard-Jones JE. Radiological studies of rectal evacuation in adults with idiopathic constipation. Dis Colon Rectum 1988;31:190–7.
Turnbull GK, Lennard-Jones JE, Bartram CI. Failure of rectal expulsion as a cause of constipation: why fibre and laxatives sometimes fail. Lancet 1986;1:767–9.
Read NW, Timms JM, Barfield LJ, Donnelly TC, Bannister JJ. Impairment of defaecation in young women with severe constipation. Gastroenterology 1986;90:53–60.
Williams NS. Restorative proctocolectomy with ileal reservoir (symposium). Int J Colorect Dis 1986;1:2–19.
Editorial. Constipation in young women. Lancet 1986;1:778–9.
Author information
Authors and Affiliations
Additional information
Supported by the St. Marks Research Foundation.
About this article
Cite this article
Nicholls, R.J., Chir, M. & Kamm, M.A. Proctocolectomy with restorative ileoanal reservoir for severe idiopathic constipation. Dis Colon Rectum 31, 968–969 (1988). https://doi.org/10.1007/BF02554897
Issue Date:
DOI: https://doi.org/10.1007/BF02554897