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PubMed · 16439812

Alleviating debilitating, chronic constipation with colostomy after appendicostomy: a case study.

Mirza K Baig·Mary Lou Boyer·Helen Marquez·Steven D Wexner
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Abstract

Severe chronic constipation is a debilitating condition. Patients not only experience infrequent bowel movements, but also are often frustrated by the sensation of incomplete evacuation; pain; straining; daily use of enemas; and continual concerns regarding diet, fluids, and medications. Diagnostic tests are performed to rule out organic causes of the condition. Common treatment options consist of dietary fiber supplementation, dietary instruction, adequate fluid intake, enemas, and laxatives; additional noninvasive management includes biofeedback training and botulinum toxin type A injections. Surgery is rarely recommended, although a select group of patients may benefit from antegrade continence enema procedure. A female patient presented with a history of long-standing constipation. When antegrade continence enema offered no improvement and other treatment measures failed, she underwent successful laparoscopic-assisted sigmoid resection and end colostomy. This approach may provide options for patients in similar circumstances.

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AppendixCecostomyChronic DiseaseColostomyConstipationFemaleHumansMiddle AgedTherapeutic IrrigationCase ReportsJournal Article

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Mirza K Baig, Mary Lou Boyer, Helen Marquez, Steven D Wexner. 2005. Alleviating debilitating, chronic constipation with colostomy after appendicostomy: a case study.. https://pubmed.ncbi.nlm.nih.gov/16439812/

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Reconstruction of bladder and urethra using ileocecal segment and appendix in patients with exstrophy-epispadias complex: the first report of a new surgical approach.

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PubMed2006

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