Skip to main content
SpringerLink
Log in
Book cover

Reoperative Pelvic Surgery pp 329–333Cite as

Reoperative Surgery for Constipation or Dysmotility

  • Chapter
  • First Online:

  • 811 Accesses

Abstract

Constipation implies different symptoms when patients present to their health care provider. Even among health care providers, understanding the exact problem and how to proceed can be vastly different. In an attempt to standardize the definition, a panel of experts met in Rome, Italy, and the Rome criteria were established. These consist of two or more of the following symptoms for greater than 3 months: straining more than 25% of the time with stooling; hard stools more than 25% of the time; incomplete evacuation more than 25% of the time; or two or fewer bowel movements per week.[1] These criteria are not perfect, but provide a starting point for evaluation of these patients when they come to the office.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Thompson WG, Longstreth GF, Drossman DA, et al. Functional bowel disorders and functional abdominal pain. Gut. 1999;45(suppl2):1143–7.

    Google Scholar 

  2. Thompson WG, Longstreth GF, Drossman DA, et al. Functional bowel disorders and functional abdominal pain. In: Drossman DA, Talley NJ, Thompson WG, Whitehead WE, Corazziari E, eds. Rome II Functional Gastrointestinal Disorders: Diagnosis, Pathophysiology, and Treatment, 2nd ed. McLean, VA: Degnon Associates; 2000:351–432.

    Google Scholar 

  3. Hinton JM, Lennard-Jones JE, Young AC. A new method for studying gut transit using radioopaque markers. Gut 1969;10:842–7.

    Article  CAS  PubMed  Google Scholar 

  4. DeGraaf EJR, Gilberts ECAM, Schouten WR. Role of segmental colonic transit time studies to select patients with slow transit constipation for partial left-sided or subtotal colectomy. Br J Surg. 1996;83:648–51.

    Article  CAS  Google Scholar 

  5. Van der Sijp JRM, Kamm MA, Nightingale JMD. Radioisotope determination of regional colonic transit in severe constipation: comparison with radio-opaque markers. Gut. 1993;34:402–8.

    Article  PubMed  Google Scholar 

  6. Bonapace ES, Davidoff S, Krevsky B, et al. Whole gut scintigraphy in the clinical evaluation of patients with upper and lower gastrointestinal symptoms. Am J Gastroenterol. 2000;95:2838–47.

    Article  CAS  PubMed  Google Scholar 

  7. Jorge JM, Wexner SD, Ger GC, et al. Cinedefecography and electromyography in the diagnosis of nonrelaxing puborectalis syndrome. Dis Colon Rectum. 1993;35:668–76.

    Article  Google Scholar 

  8. Preston DM, Lennard-Jones JE. Severe chronic constipation of young women: “idiopathic slow transit constipation.” Gut. 1986;27:41–8.

    Article  CAS  PubMed  Google Scholar 

  9. Lubowski DZ, Chen FC, Kennedy ML, et al. Results of colectomy for severe slow transit constipation. Dis Colon Rectum. 1996;39:23–9.

    Article  CAS  PubMed  Google Scholar 

  10. Walsh PV, Peebles-Brown DA, Watkinson G. Colectomy for slow transit constipation. Ann R Coll Surg Engl. 1987;69:71–5.

    CAS  PubMed  Google Scholar 

  11. Zutshi M, Hull TL, Trzcinsk R, et al. Surgery for slow transit constipation: are we helping patients? Int J Colorectal Dis. 2007;22:265–9.

    Article  CAS  PubMed  Google Scholar 

  12. Preston DM, Hawley PR, Lennard-Jones JE, Todd IP. Results of colectomy for severe idiopathic constipation in women (Arbuthnot Lane’s disease). Br J Surg. 1984;71:547–52.

    Article  CAS  PubMed  Google Scholar 

  13. Vasilevsky CA, Nemer FD, Balcos EG, et al. Is subtotal colectomy a viable option in the management of chronic constipation? Dis Colon Rectum. 1988;31:679–81.

    Article  CAS  PubMed  Google Scholar 

  14. Belliveau P, Goldberg SM, Rothenberger DA, Nivatvongs S. Idiopathic acquired megacolon: the value of subtotal colectomy. Dis Colon Rectum. 1982;25:118–21.

    Article  CAS  PubMed  Google Scholar 

  15. Metcalf A, Ross HM. Constipation. In: Wolff BG, Fleshman JW, Beck DE, Pemberton JH, Wexner SD, eds. The ASCRS Textbook of Colon and Rectal Surgery. New York: Springer Science and Business Media; 2007:678–86.

    Chapter  Google Scholar 

  16. 1Dietz HP, Korda A. Which bowel symptoms are most strongly associated with a true rectocele? Aust N Z J Obstet Gynaecol. 2005;45:505–8.

    Article  PubMed  Google Scholar 

  17. Murthy VK, Orkin BA, Smith LE, Glassman LM. Excellent outcome using selective criteria for rectocele repair. Dis Colon Rectum. 1996;39:374–8.

    Article  CAS  PubMed  Google Scholar 

  18. Mellgren A, Anzen B, Nilsson BY. Results of rectocele repair: a prospective study. Dis Colon Rectum. 1995:38:7–13.

    Article  CAS  PubMed  Google Scholar 

  19. Boccasanta P, Venturi M, Stuto A, et al. Stapled transanal rectal resection for outlet obstruction: a prospective, multicenter trial. Dis Colon Rectum. 2004;47:1285–96.

    Article  PubMed  Google Scholar 

  20. Senagore A, Gallagher J, Hull T, Ferrera A. A short-term assessment of the efficacy of the STARR procedure for obstructed defecation syndrome. Podium presentation at the American Society of Colon and Rectal Surgeons, Philadelphia, May 4, 2005.

    Google Scholar 

  21. Ganio E, Ratto C, Masin A. Short-term sacral nerve stimulation for functional anorectal and urinary disturbances: Results in forty patients. Dis Colon Rectum. 2001;44:1261–7.

    Article  CAS  PubMed  Google Scholar 

  22. Kenefick NJ, Nicholls RJ, Cohen CG. Permanent sacral nerve stimulation for treatment of idiopathic constipation. Br J Surg. 2002;89:882–8.

    Article  CAS  PubMed  Google Scholar 

  23. Malouf AJ, Weisel PH, Nicholls T. Short-term effects of sacral nerve stimulation for idiopathic slow transit constipation. World J Surg. 2002;26:166–70.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Colon and Rectal Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA

    Tracy L. Hull (Staff Surgeon)

Authors
  1. Tracy L. Hull
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Northwest Colon and Rectal Clinic, Madison Street 1101, Seattle, 98104, U.S.A.

    Richard P. Billingham

  2. Virginia Mason Medical Center, 9th Avenue 1100, Seattle, 98101, U.S.A.

    Kathleen C. Kobashi

  3. Madison Street 1100, Seattle, 98104, U.S.A.

    William A. Peters

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Hull, T.L. (2009). Reoperative Surgery for Constipation or Dysmotility. In: Billingham, R., Kobashi, K., Peters, W. (eds) Reoperative Pelvic Surgery. Springer, New York, NY. https://doi.org/10.1007/b14187_26

Download citation

  • DOI: https://doi.org/10.1007/b14187_26

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-89998-5

  • Online ISBN: 978-0-387-89999-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation