The surgical treatment of severe idiopathic constipation.
Int J Colorectal Dis | Published : 1987
The concept that constipation derives from an isolated abnormality of one muscle group or mechanism is probably naive, and stems from an inability to assess the colon, rectum and anal mechanism as an integrated unit. Patients who come to surgery may have a low symptom threshold and require careful psychological as well as physical evaluation. Colectomy for severe constipation usually improves bowel frequency and abdominal pain, but has a high incidence of residual symptoms, new symptoms and further surgery. Puborectalis division has not proved to be successful, but operations on the internal sphincter may be appropriate for selected patients. © 1987 Springer-Verlag.