Summary
Twenty-One patients underwent Sigmomyotomy during a six year period from 1976 to 1981. Details of pre-operative symptoms and findings, Barium Enema results and operative indications were noted. These are compared with operative results. Follow-up was from 2-7 years. The operative mortality was zero. There were minor complications in five patients. Symptomatic relief was good to excellent in 20 patients, particularly in those patients in whom there was pre-operative evidence of obstructive symptoms. It is felt that Sigmomyotomy has a definite role in the management of diverticulosis where there is evidence of secondary stricture formation or where a resection may be deemed hazardous on technical or patient health grounds.
Similar content being viewed by others
References
Correnti, F. S., Pappalardo, G., Mobarhan, S., Trentino, P., Parenzi, G. F., Castrini, G. 1983. Follow up results of a new colomyotomy in the treatment of diverticulosis. Surg. Gynaecol. and Obstet. 156, 181.
Daniel, O. 1969. Sigmomyotomy with peritoneal graft. Proc. R. Soc. Med. 62, 811.
Hyland, J. M. P. and Taylor, J. 1980. Does a high fibre diet prevent the complications of diverti-cular disease? B. J. Surg. 67, 77.
Kettlewell, M. G. W. and Moloney, G. E. 1977. Combined horizontal and longitudinal colomyotomy for diverticular disease. Dis. Col. and Rect. 20, 24.
McGinn, F. P. 1976. Distal Colomyotomy, follow up of 37 cases. Br. J. Surg. 63, 309.
McGregor, A. B., Abenethy, B. C. and Thompson, J. W. W. 1970. The role of surgery in diverticular disease. J. R. Coll. Surg. Edin. 15,137.
Painter, N. S. 1982. Diverticular disease of the colon and the high fibre diet. Med. International (Irish edit.). 1, 622.
Parks, J. G. and Connell, A. M. 1970. The outcome in 455 patients admitted for treatment of diverticular disease of the colon. Br. J. Surg. 57, 775.
Prasad, J. K. and Daniel, O. 1971. Recurrence of high intracolonic pressure following sigmoid myotomy. Br. J. Surg. 58, 304.
Pescatori, M. and Casatiglioni, G. C. 1978. Sigmoid mobility and clinical results after transverse taeniomyotomy for diverticulosis. Br. J. Surg. 58, 304.
Reilly, M. 1964. Sigmoid myotomy. Proc. R. Soc. Med. 57, 556.
Reilly, M. 1966. Sigmoid myotomy. Br. J. Surg. 53, 859.
Smith, A. N., Giannakos, V. and Clarke, S. 1970. Late results of colomyotomy. J. R. Coll. Surg. Edin. 16, 276.
Smith, A. N., Attisha, M. B. and Clarke, S. 1971. Mobility after colomyotomy and resection of the colon for diverticular disease. Dig. Dis. 16, 728.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
McCollum, P.T., Lavelle, J.S.R. Reilly’s sigmomyotomy in the treatment of diverticulosis: a review of 21 cases. I.J.M.S. 153, 426–430 (1984). https://doi.org/10.1007/BF02939833
Issue Date:
DOI: https://doi.org/10.1007/BF02939833