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자료유형
학술저널
저자정보
Yuda Handaya (Universitas Gadjah Mada) Agung Maryanto (Universitas Gadjah Mada) Marijata (Universitas Gadjah Mada)
저널정보
대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.33 No.6
발행연도
2017.1
수록면
249 - 252 (4page)

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Constipation is a digestive disorder that often occurs in the elderly; its main cause is bowel motility disorder. Treatments for patients with chronic constipation include pharmacotherapy, diet changes, and surgery if other therapies do not offer satisfactory results. We describe 4 patients, 2 men (70 and 65 years old) and 2 women (75 and 66 years old), who were diagnosed with chronic constipation (slow transit constipation) and treated with conventional therapy, but did not improve. For that reason, side-to-side ileosigmoidostomy shunting surgery was performed. After the surgery, the average time until normal defecation was 16 days, and the defecation frequency was 3 to 4 times a day with no need for a laxative. No patient had a recurrence of constipation. Based on these results, side-to-side ileosigmoidostomy shunting surgery is expected to restore digestive function and can be considered as an alternative therapy for elderly patients with chronic constipation.

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