Surgical Approach to Functional Bowel Disease

  • Sean J. Mulvihill
  • Haile T. Debas
Part of the Topics in Gastroenterology book series (TGEN)


Nowhere in surgery must greater caution be exercised nor a more deliberate course of action taken than in the management of motility disorders of the gastrointestinal tract. The main reason for this is that their pathophysiology is poorly understood and appropriate corrective surgical procedures are, therefore, difficult to design. Indeed, poorly conceived surgical decisions can result in sequelae that are worse than the original disease. The success of surgical treatment varies with different disorders of motility. Best results are obtained when a defined, well-understood problem, such as Zenker’s diverticulum or achalasia, is treated. The worst results can be expected in such poorly understood conditions as biliary dyskinesia, chronic idiopathic intestinal obstruction, or postgastrectomy syndromes. The indication for surgery in such disorders must be either extreme functional impairment or the development of complications that must be corrected. Surgery is usually considered only after all conservative measures fail.


Lower Esophageal Sphincter Diverticular Disease Common Bile Duct Stone Biliary Dyskinesia Diffuse Esophageal Spasm 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Plenum Publishing Corporation 1989

Authors and Affiliations

  • Sean J. Mulvihill
    • 1
  • Haile T. Debas
    • 1
  1. 1.Department of SurgeryUniversity of California-San FranciscoSan FranciscoUSA

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