2020年11月16日星期一

are hemorrhoids itchy,New surgical method for the treatment of intractable slow transit constipation in the elderly

    The 80-year-old Wang's father has been suffering from constipation for more than 20 years. He has no intention of having a bowel movement for a long time. For 7 years, I completely relied on various laxatives to maintain bowel movements. In the past 2 years, the laxatives did not work. After the hospital did a gastrointestinal transit test, defecography, colonoscopy, and rectal anal canal pressure measurement and other constipation specialist examinations, it was diagnosed as severe slow transit constipation caused by slow colonic peristalsis. Recently, the doctor performed colon exclusion and ileo-rectal anastomosis for the patient. The operation time was only forty minutes. After the operation, Sanda began to eat. On the fourth day, the patient enjoyed a long-lost unobstructed bowel movement. At the time of discharge, there were only 2 stools per day. Times.

    This surgery is specifically designed for elderly patients with intractable slow transit constipation. Elderly patients with constipation often have a variety of medical diseases such as hypertension, diabetes, emphysema, etc., and cannot tolerate major operations. However, long-term severe constipation seriously affects the patient’s quality of life in later life, and constipation often causes intestinal obstruction, Hemorrhoids, cardiovascular and cerebrovascular diseases, Alzheimer's disease, colorectal cancer and other diseases, many patients with constipation are anxious for a long time, and suffer tremendous mental and psychological pain and suffering. Some patients even tend to commit suicide. "Enjoying a smooth bowel movement has become an important part of the daily life of elderly patients with constipation."

    This operation is different from the conventional colonic short-circuit operation. A 5-6cm long side-to-side anastomosis of the ileum and rectum forms a similar "storage bag" effect, which buffers bowel movements and significantly improves postoperative diarrhea symptoms. This operation has the advantages of short operation time, less trauma, quick postoperative recovery, and low hospitalization costs. Over the past year, the Department of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University has successfully treated several elderly patients with constipation using this procedure.

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