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Surgical Approach to Functional Bowel Disease

  • Chapter
Pathogenesis of Functional Bowel Disease

Part of the book series: Topics in Gastroenterology ((TGEN))

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Abstract

Nowhere in surgery must greater caution be exercised nor a more deliberate course of action taken than in the management of motility disorders of the gastrointestinal tract. The main reason for this is that their pathophysiology is poorly understood and appropriate corrective surgical procedures are, therefore, difficult to design. Indeed, poorly conceived surgical decisions can result in sequelae that are worse than the original disease. The success of surgical treatment varies with different disorders of motility. Best results are obtained when a defined, well-understood problem, such as Zenker’s diverticulum or achalasia, is treated. The worst results can be expected in such poorly understood conditions as biliary dyskinesia, chronic idiopathic intestinal obstruction, or postgastrectomy syndromes. The indication for surgery in such disorders must be either extreme functional impairment or the development of complications that must be corrected. Surgery is usually considered only after all conservative measures fail.

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References

  1. Cohen S: Motor disorders of the esophagus. N Engl J Med 301:184–192, 1979

    CAS  PubMed  Google Scholar 

  2. Henderson RD: Esophageal motor disorders. Surg Clin North Am 67:455–474, 1987

    CAS  PubMed  Google Scholar 

  3. Benjamin SB, Richter JE, Cordova CM, et al: Prospective manometric evaluation with pharmacologic provocation of patients with suspected esophageal motility disorders. Gastroenterology 84:893–899, 1983

    CAS  PubMed  Google Scholar 

  4. Vantrappen G, Janssens H, Hellmans J, et al: Achalasia, diffuse esophageal spasm, and related motility disorders. Gastroenterology 76:450–457, 1979

    CAS  PubMed  Google Scholar 

  5. Ellis FH Jr, Schlegel JF, Code CF, et al: Surgical treatment of esophageal hypermotility disturbances. JAMA 188:862–865, 1964

    PubMed  Google Scholar 

  6. Ferguson TB, Woodbury JD, Roper CL, et al: Giant muscular hypertrophy of the esophagus. Ann Thorac Surg 8:209, 1969

    CAS  PubMed  Google Scholar 

  7. Flye ME, Sealy WC: Diffuse spasm of the esophagus. Ann Thorac Surg 19:677, 1975

    CAS  PubMed  Google Scholar 

  8. Leonardi HK, Shea JA, Crozier RE, Ellis FH Jr: Diffuse spasm of the esophagus. Clinical, manometric and surgical considerations. J Thorac Cardiovasc Surg 74:736–743, 1977

    CAS  PubMed  Google Scholar 

  9. Earlam RJ, Ellis FH Jr: Achalasia of the esophagus in a small urban community. Mayo Clin Proc 44:478–482, 1969

    CAS  PubMed  Google Scholar 

  10. Just-Viera JO, Morris JD, Haight C: Achalasia and esophageal carcinoma. Ann Thorac Surg 3:526, 1967

    CAS  PubMed  Google Scholar 

  11. Hankins JR, McLaughlin JS: The association of carcinoma of the esophagus with achalasia. J Thorac Cardiovasc Surg 69:355–360, 1975

    CAS  PubMed  Google Scholar 

  12. Sanderson DR, Ellis FH Jr, Olsen AM: Achalasia of the esophagus: Results of therapy by dilation, 19501967. Chest 58:116, 1970

    CAS  PubMed  Google Scholar 

  13. Okike N, Payne WS, Neufeld DM, et al: Esophagomyotomy versus forceful dilation for achalasia of the esophagus: Results in 899 patients. Ann Thorac Surg 28:119–125, 1979

    CAS  PubMed  Google Scholar 

  14. Dellipiani AW, Hewetson KA: Pneumatic dilatation in the management of achalasia: Experience of 45 cases. Q J Med 58:253–258, 1986

    CAS  PubMed  Google Scholar 

  15. Ellis FH Jr: Surgical management of esophageal motility disturbances. Am J Surg 139:752–759, 1980

    PubMed  Google Scholar 

  16. Ellis FH Jr, Crozier RE, Watkins E Jr: Operation for esophageal achalasia. Results of esophagomyotomy without an antireflux operation. J Thorac Cardiovasc Surg 88:344–351, 1984

    PubMed  Google Scholar 

  17. Donahue PE, Schlesinger PK, Bombeck CT, et al: Achalasia of the esophagus. Treatment controversies and the method of choice. Ann Surg 203:505–511, 1986

    CAS  PubMed  Google Scholar 

  18. Ellis FH Jr, Kiser JC, Schlegel JF, et al: Esophagomyotomy for esophageal achalasia. Experimental, clinical, and manometric aspects. Ann Surg 166:640–656, 1967

    PubMed  Google Scholar 

  19. Jara FM, Toledo-Pereyra LH, Lewis JW, et al: Long-term results of esophagomyotomy for achalasia of esophagus. Arch Surg 114:935–936, 1979

    CAS  PubMed  Google Scholar 

  20. Ellis FH Jr, Olsen AM: Achalasia of the Esophagus. Philadelphia, Saunders, 1969, p 196

    Google Scholar 

  21. Bonavina L, Khan NA, DeMeester TR: Pharyngoesophageal dysfunctions. The role of cricopharyngeal myotomy. Arch Surg 120: 541–549, 1985

    CAS  PubMed  Google Scholar 

  22. Welsh GF, Payne WS: The present status of one-stage pharyngo-esophageal diverticulectomy. Surg Clin North Am 53:953–958, 1973

    CAS  PubMed  Google Scholar 

  23. Huang B, Payne WS, Cameron AJ: Surgical management for recurrent pharyngoesophageal (Zenker’s) diverticulum. Ann Thorac Surg 37:189–191, 1984

    CAS  PubMed  Google Scholar 

  24. Payne WS, King RM: Pharyngoesophageal (Zenker’s) diverticulum. Surg Clin North Am 63:815–824, 1983

    CAS  PubMed  Google Scholar 

  25. Hurwitz AL, Duranceau A: Upper esophageal sphincter dysfunction: Pathogenesis and treatment. Dig Dis Sci 23:275–281, 1978

    CAS  Google Scholar 

  26. Debas HT, Payne WS, Cameron AJ, et al: Physiopathology of lower esophageal diverticulum and its implications for treatment. Surg Gynecol Obstet 151:593–600, 1980

    CAS  PubMed  Google Scholar 

  27. Hinder RA, Kelly KA: Human gastric pacesetter potential: Site of origin, spread, and response to gastric transection and proximal gastric vagotomy. Am J Surg 133:29–33, 1977

    CAS  PubMed  Google Scholar 

  28. Kelly KA, Code CF, Elveback LR: Patterns of canine gastric electrical activity. Am J Physiol 217:461–470, 1969

    CAS  PubMed  Google Scholar 

  29. Szurszewski JH: Electrical basis for gastrointestinal motility, in Johnson LR (ed): Physiology of the Gastrointestinal Tract. New York, Raven Press, 1981, Vol 2, pp 1435–1466

    Google Scholar 

  30. Code CF, Marlett JA: Canine tachygastria. Mayo Clin Proc 49:325–332, 1974

    CAS  PubMed  Google Scholar 

  31. Telander RL, Morgan KG, Kreulen DL, et al: Human gastric atony with tachygastria and gastric retention. Gastroenterology 75:497–501, 1978.

    CAS  Google Scholar 

  32. Stoddard CJ, Smallwood RH, Duthie HL: Electrical arrhythmias in the human stomach. Gut 22:705–712, 1981

    CAS  PubMed  Google Scholar 

  33. Bertrand J, Dorval ED, Metman EH, et al: Electrogastrography and serosal electrical recording of the antrum after proximal vagotomy in man. Gastroenterology 86:1026, 1984 (abstr)

    Google Scholar 

  34. Stern RM, Koch KL, Stewart WR, et al: Spectral analysis of tachygastria recorded during motion sickness. Gastroenterology 92:92–97, 1987

    CAS  PubMed  Google Scholar 

  35. Abell TL, Malagelada JR, Lucas AR, et al: Gastric electromechanical and neurohormonal function in anorexia nervosa. Gastroenterology 93:958–965, 1987

    CAS  PubMed  Google Scholar 

  36. Abell TL, Camilleri M, Malagelada JR: High prevalence of gastric electrical dysrhythmias in diabetic gastroparesis. Gastroenterology 86:1299, 1984 (abstr)

    Google Scholar 

  37. You CH, Lee KY, Chey WY, et al: Electrogastrographic study of patients with unexplained nausea, bloating, and vomiting. Gastroenterology 79:311–314, 1980

    CAS  PubMed  Google Scholar 

  38. Kim CH, Malagelada JR: Electrical activity of the stomach: Clinical implications. Mayo Clin Proc 61:205–210, 1986

    CAS  PubMed  Google Scholar 

  39. Kim CH, Zinmeister AR, Malagelada JR: Mechanisms of canine gastric dysrhythmia. Gastroenterology 92:993–999, 1987

    CAS  PubMed  Google Scholar 

  40. You CH, Chey WY, Lee KY, et al: Gastric and small intestinal myoelectric dysrhythmia associated with chronic intractable nausea and vomiting. Ann Intern Med 95:449–451, 1981

    CAS  PubMed  Google Scholar 

  41. Mulvihill SJ, Fonkalsrud EW: Pyloroplasty in infancy and childhood. J Pediatr Surg 18:930–936, 1983

    CAS  PubMed  Google Scholar 

  42. Pellegrini CA, Broderick WC, Van Dyke D, et al: Diagnosis and treatment of gastric emptying disorders: Clinical usefulness of radionuclide measurements of gastric emptying. Am J Surg 145:143–151, 1983

    CAS  PubMed  Google Scholar 

  43. Chaimoff C, Dintsman M, Tigva P: The long-term fate of patients with dumping syndrome. Arch Surg 105:554–556, 1972

    CAS  PubMed  Google Scholar 

  44. Owren PA: The pathogenesis and treatment of iron deficiency anemia after partial gastrectomy. Acta Chir Scand 104:206, 1952

    CAS  PubMed  Google Scholar 

  45. Silver D, Anlyan WG, Postlethwait RW, et al: Serotonin metabolism and the dumping syndrome. Ann Surg 161:995, 1965

    CAS  Google Scholar 

  46. Welboum RB, Hallenback GA, Bollman JL: Effect of gastric operations on loss of fecal fat in the dog. Gastroenterology 23:441, 1953

    Google Scholar 

  47. Machella TE: Mechanism of post-gastrectomy dumping syndrome. Gastroenterology 14:237. 1950

    CAS  PubMed  Google Scholar 

  48. Hinshaw DB, Joergenson EJ, Davis HA, et al: Peripheral blood flow and blood volume studies in the dumping syndrome. AMA Arch Surg 74:686, 1957

    CAS  PubMed  Google Scholar 

  49. Glazebrook AJ, Welboum RB: Some observations on the function of the small intestine after gastrectomy. Br J Surg 40:1 11. 1952

    Google Scholar 

  50. Reichle FA, Brigham MP, Riechle RM, et al: The effects of gastrectomy on serotonin metabolism in the human portal vein. Ann Surg 172:585. 1970

    CAS  PubMed  Google Scholar 

  51. Zeitlin IJ, Smith AN: 5-Hydroxyindoles and kinins in the carcinoid and dumping syndromes. Lancet 2:986, 1966

    CAS  PubMed  Google Scholar 

  52. Bloom SR, Roystan CMS, Thomson JPS: Gastric operations and glucose homeostasis. Gastroenterology 62:1109, 1972

    Google Scholar 

  53. Hopman WP, Wolberink RG, Lamers CB, et al: Treatment of the dumping syndrome with the somatostatin analogue SMS 201–995. Ann Surg 207:155–159, 1988

    CAS  PubMed  Google Scholar 

  54. Reber HA, Way LW: Surgical treatment of late postgastrectomy syndromes. Am J Surg 129:71–77, 1975

    CAS  PubMed  Google Scholar 

  55. Sawyers JL, Herrington JL Jr: Superiority of antiperistaltic jejunal segments in management of severe dumping syndrome. Ann Surg 178:311–321, 1973

    CAS  PubMed  Google Scholar 

  56. Cheadle WG, Baker PR, Cuschieri A: Pyloric reconstruction for severe vasomotor dumping after vagotomy and pyloroplasty. Ann Surg 202:568–572, 1985

    CAS  PubMed  Google Scholar 

  57. Ebeid FH, Ralphs DNL, Hobsley M, et al: Dumping symptoms after vagotomy treated by reversal of pyloroplasty. Br J Surg 69:527–528, 1982

    Google Scholar 

  58. Christiansen PM, Hansen OH, Pedersen T: Reconstruction of the pylorus for postvagotomy diarrhoea and dumping. Br J Surg 61:519–520, 1974

    CAS  PubMed  Google Scholar 

  59. Johnston D, Humphrey CS, Walker BE, et al: Vagotomy without diarrhea. Br Med J 3:788–790, 1972

    CAS  PubMed  Google Scholar 

  60. Strauss R, Wise L: New concepts in the prevention, causes, and treatment of postgastrectomy diarrhea. Curr Surg 35:77–84, 1978

    CAS  PubMed  Google Scholar 

  61. Allen JG, Gerskowitch VP, Russell R: The role of bile salts in the pathogenesis of postvagotomy diarrhea. Br J Surg 61:516, 1974

    Google Scholar 

  62. Herrington JL: The postgastrectomy syndrome. Contemp Surg 29:13–22, 1986

    Google Scholar 

  63. Warshaw AL, Simeone J, Schapiro RH, et al: Objective evaluation of ampullary stenosis with ultrasonography and pancreatic stimulation. Am J Surg 149:67–72, 1985

    Google Scholar 

  64. Nardi GL, Michelassi F, Zannini P: Transduodenal sphincteroplasty. 5–25 year follow-up of 89 patients. Ann Surg 198:453–461, 1983

    CAS  PubMed  Google Scholar 

  65. Toouli, J, Geenen JE, Hogan WG, et al: Sphincter of Oddi motor activity: A comparison between patients with common bile duct stones and controls. Gastroenterology 82:111–117, 1982

    CAS  PubMed  Google Scholar 

  66. Meshkinporir H, Mollot M, Eckerling GB, et al: Bile duct dyskinesia. Clinical and manometric study. Gastroenterology 87:759–762, 1984

    Google Scholar 

  67. Hogan WG, Geenen JE, Dodds WJ: Dysmotility disturbances of the biliary tract: Classification, diagnosis, and treatment. Semin Liver Dis 7:302–310, 1987

    CAS  PubMed  Google Scholar 

  68. Rolny P, Arleback A, Funch-Jensen P, et al: Paradoxical response of sphincter of Oddi to intravenous injection of cholecystokinin or ceruletide. Manometric findings and results of treatment in biliary dyskinesia. Gut 27:1507–1511, 1986

    CAS  PubMed  Google Scholar 

  69. Rolny P, Arleback A, Jamerot G, et al: Endoscopie manometry of the sphincter of Oddi and pancreatic duct in chronic pancreatitis. Scand J Gastroenterol 21:415–421, 1986

    CAS  PubMed  Google Scholar 

  70. Lempinen M: Biliary dyskinesia. Scand J Gastroenterol 20(suppl 109):103–106, 1985

    Google Scholar 

  71. Roberts-Thomson IC: Endoscopie sphincterotomy of the papilla of Vater: An analysis of 300 cases. Aust NZ J Med 14:611–617, 1984

    CAS  Google Scholar 

  72. Geenen JE, Toouli J, Hogan WJ, et al: Endoscopie sphincterotomy: Follow-up evaluation of effects on the sphincter of Oddi. Gastroenterology 87:754–758, 1984

    CAS  PubMed  Google Scholar 

  73. Schuffler MD, Lowe MC, Bill AH: Studies of idiopathic intestinal pseudoobstruction. I. Hereditary hollow visceral myopathy. Clinical and pathologic studies. Gastroenterology 73:327–338, 1977

    CAS  PubMed  Google Scholar 

  74. Schuffler MD, Bird TD, Sumi SM, et al: A familial neuronal disease presenting as intestinal pseudoobstruction. Gastroenterology 75:889–898, 1978

    CAS  PubMed  Google Scholar 

  75. Byrne WJ, Cipel L, Ament ME, et al: Chronic idiopathic intestinal pseudo-obstruction syndrome. Radiologic signs in children with emphasis on differentiation from mechanical obstruction. Diagn Imag 50:294–304, 1981

    CAS  Google Scholar 

  76. Schuffler MD, Deitch EA: Chronic idiopathic intestinal pseudo-obstruction. A surgical approach. Ann Surg 192:752–761, 1980

    CAS  PubMed  Google Scholar 

  77. McCready RA, Beart RW: The surgical treatment of incapacitating constipation associated with idiopathic megacolon. Mayo Clin Proc 54:779–783, 1979

    CAS  PubMed  Google Scholar 

  78. Schuffler MD, Leon SH, Krishnamurthy S: Intestinal pseudoobstruction caused by a new form of visceral neuropathy: Palliation by radical small bowel resection. Gastroenterology 89:1152–1156, 1985

    CAS  PubMed  Google Scholar 

  79. Paul CA, Tomiyasu U, Mellinkoff SM: Nearly fatal pseudo-obstruction of the small intestine. A case report of its relief by subtotal resection of the small bowel. Gastroenterology 40:698–704, 1961

    CAS  PubMed  Google Scholar 

  80. Pitt HA, Mann LL, Berquist WE, et al: Chronic intestinal pseudo-obstruction. Management with total parenteral nutrition and a venting enterostomy. Arch Surg 120:614–618, 1985

    CAS  PubMed  Google Scholar 

  81. Ogilvie H: Large-intestine colic due to sympathetic deprivation: A new clinical syndrome. Br Med J 2:671–673, 1948

    CAS  PubMed  Google Scholar 

  82. Luderer JR, Demers LM, Bonnem EM, et al: Elevated prostaglandin E in idiopathic intestinal pseudo-obstruction. N Engl J Med 295:179, 1976

    Google Scholar 

  83. Chousterman M, Petite JP, Housset E, et al: Prostaglandins and intestinal pseudo-obstruction (letter). Lancet 2:138–139, 1977

    CAS  PubMed  Google Scholar 

  84. Kukora JS, Dent TL: Colonoscopic decompression of massive nonobstructive cecal dilation. Arch Surg 112:512–517, 1977

    CAS  PubMed  Google Scholar 

  85. Strode] WE, Nostrant TT, Eckhauser FE, et al: Therapeutic and diagnostic colonoscopy in nonobstructive colonic dilation. Ann Surg 197:416–421, 1983

    Google Scholar 

  86. Adams JT: Adynamic ileus of the colon. An indication for cecostomy. Arch Surg 109:503–507, 1974

    CAS  PubMed  Google Scholar 

  87. Nanni G, Garbini A, Luchetti P, et al: Ogilvie’s syndrome (acute colonic pseudo-obstruction): Review of the literature (October 1948 to March 1980) and report of four additional cases. Dis Colon Rectum 25:157–166, 1982

    CAS  PubMed  Google Scholar 

  88. Parks TG: Post-mortem studies on the colon with special reference to diverticular disease. Proc R Soc Med 61:30–32, 1968

    Google Scholar 

  89. Almy TP, Howell DA: Diverticular disease of the colon. N Engl J Med 302:324–331, 1980

    CAS  PubMed  Google Scholar 

  90. Hackford AW, Veidenheimer MC: Diverticular disease of the colon. Current concepts and management. Surg Clin North Am 65:347–363, 1985

    CAS  PubMed  Google Scholar 

  91. Painter NS: The aetiology of diverticulosis of the colon with special reference to the action of certain drugs on the behaviour of the colon. Ann R Coll Surg Engl 34:98–119, 1964

    CAS  PubMed  Google Scholar 

  92. Arfwidsson S, Dock NG: Pathogenesis of multiple diverticula of the sigmoid colon in diverticular disease. Acta Chir Scand 342 (suppl):5–68, 1964

    Google Scholar 

  93. Painter, NS: Diverticular disease of the colon. Br Med J 3:475–479, 1968

    CAS  PubMed  Google Scholar 

  94. Taylor I, Duthie HL: Bran tablets and diverticular disease. Br Med J 1:988–990, 1976

    CAS  PubMed  Google Scholar 

  95. Smith AN: Colonic muscle in diverticular disease. Clin Gastroenterol 15:917–935, 1986

    CAS  PubMed  Google Scholar 

  96. Reilly M: Sigmoid myotomy. Proc R Soc Med 57:556–559, 1964

    CAS  PubMed  Google Scholar 

  97. Janson JHG, Lawrence LR, Localio SA: Colomyotomy; a new approach to surgery for colonic diverticular disease. Am J Surg 123:185, 1972

    Google Scholar 

  98. Attisha RP, Smith AN: Pressure activity of the colon and rectum in diverticular disease before and after sigmoid myotomy. Br J Surg 56:891–894, 1969

    CAS  PubMed  Google Scholar 

  99. McGinn, FP: Distal colomyotomy; follow-up of 37 cases. Br J Surg 63:309–312, 1976

    CAS  PubMed  Google Scholar 

  100. Smith, AN, Wistar RP, Clarke S: Motility after colomyotomy and resection of the colon for diverticular disease. Am J Dig Dis 16:72–76, 1971

    Google Scholar 

  101. Hodgson J: Colonic diverticular disease: Transverse taeniamyotomy. Dis Colon Rectum 18:555–559, 1975

    CAS  PubMed  Google Scholar 

  102. Landi E, Fianchini A, Landa L, et al: Multiple transverse taeniamyotomy for diverticular disease. Surg Gynecol Obstet 148:221–226, 1979

    CAS  Google Scholar 

  103. Correnti FS, Pappalardo G, Mobarhan S, et al: Follow-up results of a new colomyotomy in the treatment of diverticulosis. Surg Gynecol Obstet 156:181–186, 1983

    CAS  PubMed  Google Scholar 

  104. Almy TP, Howell DA: Medical progress. Diverticular disease of the colon. N Engl J Med 302:324–331, 1980.

    CAS  PubMed  Google Scholar 

  105. Larson DM, Masters SS, Spiro HM: Medical and surgical therapy in diverticular disease. A comparative study. Gastroenterology 71:734–737, 1976

    CAS  PubMed  Google Scholar 

  106. Hackford AW, Veidenheimer MC: Diverticular disease of the colon. Current concepts and management. Surg Clin North Am 65:347–363, 1985

    CAS  PubMed  Google Scholar 

  107. Rodkey GV, Welch CE: Changing patterns in the surgical treatment of diverticular disease. Ann Surg 200:466–478, 1984

    CAS  PubMed  Google Scholar 

  108. Poisson J, Devroedc G: Severe chronic constipation as a surgical problem. Surg Clin North Am 63:193–217, 1983

    CAS  PubMed  Google Scholar 

  109. Martelli H, Devroede G, Arhan P, et al: Some parameters of large bowel motility in normal man. Gastroenterology 75:612–618, 1978

    CAS  PubMed  Google Scholar 

  110. Reynolds JC, Ouyang A, Lee PA, et al: Chronic severe constipation. Prospective motility studies in 25 consecutive patients. Gastroenterology 92:414–420, 1987

    CAS  PubMed  Google Scholar 

  111. Koch TR, Carney JA, Go L, et al: Idiopathic chronic constipation is associated with decreased colonic vasoactive intestinal peptide. Gastroenterology 94:300–310, 1988

    CAS  PubMed  Google Scholar 

  112. Ariel I, Hershlag A, Leman OZ: Hypoganglionosis of the myenteric plexus with normal Meissner’s plexus. A new variant of colonic ganglion cell disorders. J Pediatr Surg 20:90–92, 1985

    CAS  PubMed  Google Scholar 

  113. McCready RA, Beart RW: The surgical management of incapacitating constipation associated with idiopathic megacolon. Mayo Clin Proc 54:779–783, 1979

    CAS  PubMed  Google Scholar 

  114. Klatt GR: Role of subtotal colectomy in the treatment of incapacitating constipation. Am J Surg 145:623–625. 1983

    CAS  PubMed  Google Scholar 

  115. Preston DM, Hawley PR, Lennard-Jones JE, et al: Results of colectomy for severe idiopathic constipation in women (Arbuthnot Lane’s disease). Br J Surg 71:547–552, 1984

    CAS  PubMed  Google Scholar 

  116. Beck, DE, Jagelman DG, Fazio VW: The surgery of idiopathic constipation. Castro Clin North Am 16:143–156, 1987

    CAS  Google Scholar 

  117. Walsh PV, Peebles-Brown DA, Watkinson G: Colectomy for slow transit constipation. Ann R Coll Surg Engl 69:71–75, 1987

    CAS  Google Scholar 

  118. Gasslander T, Larsson J, Wetterfors J: Experience of surgical treatment for chronic constipation. Acta Chir Scand 153:553–555, 1987

    CAS  PubMed  Google Scholar 

  119. DeLorimier AA, Benzian SR, Gooding CA: Segmental dilatation of the colon. Am J Radio! 112:100, 1971

    CAS  Google Scholar 

  120. Yoshioka K, Keighley MR: Randomized trial comparing anorectal myectomy and controlled anal dilatation for outlet obstruction. Br J Surg 74:1125–1129, 1987

    CAS  PubMed  Google Scholar 

  121. Martelli H, Devroede G, Arhan P, et al: The mechanisms of idiopathic constipation: Outlet obstruction. Gastroenterology 75:623–631, 1978

    CAS  PubMed  Google Scholar 

  122. Okamoto E, Ueda T: Embryogenesis of intramural ganglia of the gut and its relation to Hirschsprung’s disease. J Pediatr Surg 2:437, 1967

    Google Scholar 

  123. Starling JR, Croom RD Ill, Thomas CG Jr: Hirschsprung’s disease in young adults. Am J Surg 151:104–109, 1986

    CAS  PubMed  Google Scholar 

  124. Fairgrieve J: Hirschsprung’s disease in the adult. Br J Surg 223:506–514, 1963

    Google Scholar 

  125. Todd IP: Adult Hirschsprung’s disease. Br J Surg 64:331–342, 1967

    Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, University of California-San Francisco, San Francisco, California, 94143, USA

    Sean J. Mulvihill & Haile T. Debas

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  1. Sean J. Mulvihill
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Editors and Affiliations

  1. Inflammatory Bowel Disease Center, Harbor-UCLA Medical Center, 90502, Torrance, California, USA

    William J. Snape Jr. M.D. (Director, Professor of Medicine) (Director, Professor of Medicine)

  2. University of California-Los Angeles, 90073, Los Angeles, California, USA

    William J. Snape Jr. M.D. (Director, Professor of Medicine) (Director, Professor of Medicine)

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Mulvihill, S.J., Debas, H.T. (1989). Surgical Approach to Functional Bowel Disease. In: Snape, W.J. (eds) Pathogenesis of Functional Bowel Disease. Topics in Gastroenterology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5694-3_16

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  • DOI: https://doi.org/10.1007/978-1-4684-5694-3_16

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