Skip to main content
SpringerLink
Log in
Book cover

Chronische Obstipation und Stuhlinkontinenz pp 315–329Cite as

Chirurgische Therapie der chronischen Obstipation

  • Conference paper

Part of the book series: Interdisziplinäre Gastroenterologie ((GASTROENTEROLOG))

Zusammenfassung

Die durch angeborene oder erworbene anatomisch faßbare Veränderungen bedingte Obstipation ist einer chirurgischen Therapie zugänglich [5, 18, 39]. Aber auch bei Obstipationsformen, die mit normaler Anatomie, jedoch gestörter Funktion einhergehen, können operative Maßnahmen teilweise erfolgreich sein. Für die Wahl des Therapieverfahrens ist eine gezielte Diagnostik mittels Transitzeitmessung, Defäkographie, analer Manometrie und evtl. EMG Voraussetzung. Die Entscheidung zu einem verantwortungsvollen operativen Vorgehen muß heute von allen diesen Untersuchungsbefunden abhängig gemacht werden [37].

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   64.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   84.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Akervall S, Fasth S, Nordgren S, Öresland T, Hultén L (1988) The functional results after colectomy for severe constipation (Arbuthnot Lane’s disease) as related to rectal sensory function. Int J Colorect Dis 3:96–101.

    Article  CAS  Google Scholar 

  2. Arbuthnot Lane W (1908) The results of the operative treatment of chronic constipation. Br Med J 1:126–130.

    Article  Google Scholar 

  3. Bachwinkel KD, Oahley DW, Tuffi GA (1979) Rectal myectomy for short segment aganglionic megacolon. Surg Gynecol Obstet 132:109–113.

    Google Scholar 

  4. Barnes PRH, Hawley PR, Preston DM, Lennard-Jones JE (1985) Experience with posterior division of the puborectalis muscle in the management of chronic constipation. Br J Surg 72:475–477.

    Article  PubMed  CAS  Google Scholar 

  5. Belliveau P, Goldberg SM, Rothenberger DA, Nivatvongs S (1982) Idiopatic acquired Megacolon; the value of subtotal colectomy. Dis Colon Rectum 25:118–127.

    Article  PubMed  CAS  Google Scholar 

  6. Bennet RC, Goligher JC (1964) Results of internal sphincterotomy for anal fissures. Br Med J 38:1500–1504.

    Google Scholar 

  7. Bennet RC, Dutty HL (1964) The functional importance of the internal anal spincter. Br J Surg 51:355–361.

    Article  Google Scholar 

  8. Bentley JFR (1966) Posterior excisional anorectal myotomy in management of chronic faecal accumulation. Arch Dis Child 41:144–147.

    Google Scholar 

  9. Bodian M, Carter CO (1963) A family study of Hirschsprungs’ disease. Ann Hum Genet 26:261–277.

    Article  Google Scholar 

  10. Capps WF (1975) Rectoplasty and perineoplasty for the symptomatic rectocele. A report of fifty cases. Dis Colon Rectum 18:237–243.

    Article  PubMed  Google Scholar 

  11. Eisenhammer S (1951) The surgical correction of chronic internal anal sphincter contraction. South Afr Med J 25:486–489.

    CAS  Google Scholar 

  12. Entman SS, Coleman JL, Wilson G (1982) Conservative coloproctectomy for the sexually active woman. Surg Gyn Obstet 155:77–80.

    CAS  Google Scholar 

  13. Goligher J (1984) Prolapse of the rectum. In: Surgery of the anus rectum and colon, 5th edn. Ballière Tindall, London, pp 246–284.

    Google Scholar 

  14. Hata Y, Duhamel B, Pages A (1979) Megarectum de l’enfant. Etude anatomique-clinique. Ann Chir Infant 15:65–76.

    Google Scholar 

  15. Hirschsprung H (1888) Stuhlträgheit Neugeborener infolge von Dilatation und Hypertrophie des Kolons. Kinderheilkd 27:1.

    Google Scholar 

  16. Hoffman MJ, Kodner JJ, Fry RD (1984) Internal intussusception of the rectum: diagnosis and surgical management. Dis Colon Rectum 7:435–444.

    Article  Google Scholar 

  17. Holschneider AM (1976) Kinderchirurgische Aspekte der chronischen Obstipation. Monatsschr Kinderheilkd 124:351–355.

    PubMed  CAS  Google Scholar 

  18. Holschneider (1983) Elektromanometrie des Enddarms. Urban & Schwarzen-berg, München.

    Google Scholar 

  19. Ihre T (1972) Internal procidentia of the rectum: treatment and results. Scand J Gastroenterol 7:643–646.

    Article  PubMed  CAS  Google Scholar 

  20. Johansson C, Ihre T, Ahback SO (1985) Disturbances in the defaecation mechanism with special reference to intussusception of the rectum (internal procidentia) Dis Colon Rectum 28:920–924.

    Article  PubMed  CAS  Google Scholar 

  21. Kamm MA, Hawley PR, Lennard-Jones JE (1988) Outcome of colectomy for severe idiopathic constipation. Gut 29:969–973.

    Article  PubMed  CAS  Google Scholar 

  22. Keighley MRS, Shouler PJ (1984) Anorectal outlet syndrome: is there a surgical option? Soc Med 77:559–563.

    CAS  Google Scholar 

  23. Khubchandani ET, Hakki AR, Sheets JR, Statik JJ (1983) Endorectal repair of rectocele. Dis Colon Rectum 26:792–796.

    Article  PubMed  CAS  Google Scholar 

  24. Klatt GR (1983) Role of subtotal colectomy in the treatment of incapacitating constipation. Am J Surg 145:623–675.

    Article  PubMed  CAS  Google Scholar 

  25. Kuypers JCH, de Moree H (1986) Intussusceptie van het rectum: fantasie of wer-kelijkheid. Ned Tijdschr Geneeskd 13:590–592.

    Google Scholar 

  26. Leon SH, Krishnamurthy S, Shuffler MD (1987) Subtotal colectomy for severe idiopathic constipation. A follow-up study of 13 patients. Dis Dig Sci 32:1249–1254.

    Article  CAS  Google Scholar 

  27. Mannhart H (1978) Sphinkterfunktion und Kontinenz nach 2/3 Spaltung des Sphinkter ani internus. Helv Chir Acta 45:107–110.

    PubMed  CAS  Google Scholar 

  28. Marks MM (1967) The rectal side of the rectocele. Dis Colon Rectum 10:387–388.

    Article  PubMed  CAS  Google Scholar 

  29. Martelli H, Devroede G, Arhan P, Duguay C (1978) Mechanisms of idiopathic constipation: outlet obstruction. Gastroenterology 75:623–631.

    PubMed  CAS  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  31. McHugh SM, Diamont NE (1987) Effect of age, gender and parity on anal canal pressures. Contribution of impaired anal sphincter function to feacal incontinence. Dig Dis Sci 32:726–736.

    Article  PubMed  CAS  Google Scholar 

  32. McMahan JD, Ripstein CB (1987) Rectal prolapse. An update on the rectal sling procedure. Am Surg 53:37–53.

    PubMed  CAS  Google Scholar 

  33. Morgan B (1980) The teflon sling operation for repair of complete rectal prolapse. Aust NZ J Surg 50:121.

    Article  CAS  Google Scholar 

  34. Notaras MJ (1971) The treatment of anal fissure by lateral subcutaneous internal sphincterotomy. A technique and results. Br J Surg 58:96.

    Article  PubMed  CAS  Google Scholar 

  35. Poisson J, Devroede G (1983) Severe chronic constipation as a surgical problem. Surg Clin North Am 63:193–217.

    PubMed  CAS  Google Scholar 

  36. Preston DM, Hawley PR, Lennard-Jones JE, Todd IP (1984) Results of colectomy for severe idiopathic constipation in women (Arbuthnot Lane’s disease). Br J Surg 71:352–547.

    Article  Google Scholar 

  37. Raguse T (1987) Chirurgische Aspekte der chronischen hartnäckigen Obstipation. In: Hotz J, Rösch W (Hrsg) Funktionelle Störungen des Verdauungstrakts. Springer, Berlin Heidelberg New York, S 210–215.

    Google Scholar 

  38. Ranney B (1981) Enterocele, vaginal prolapse, pelvic hernia: recognition and treatment. Am J Obstet Gynecol 140:53–57.

    PubMed  CAS  Google Scholar 

  39. Rex DK, Pound DC (1987) Clinical utility of anorectal function testing. Indiana Med 6:549–551.

    Google Scholar 

  40. Ripstein CB (1952) Treatment of massive rectal prolapse. Am J Surg 83:68–71.

    Article  PubMed  CAS  Google Scholar 

  41. Roe AM, Bartolo DCC, Mortensen NJ Mc (1986) Diagnosis and surgical management of intractable constipation. Br J Surg 73:854–861.

    Article  PubMed  CAS  Google Scholar 

  42. Rutter KR, Riddell RH (1975) The solitary ulcer syndrome of the rectum. Am J Gastroenterol 4:505–530.

    CAS  Google Scholar 

  43. Sehapayak S (1985) Transrectal repair of rectocele: an extended armamentarium of colorectal surgeons. Dis Colon Rectum 28:422–433.

    Article  PubMed  CAS  Google Scholar 

  44. Shandling B, Desjardins JG (1969) Anal myomectomy for constipation. J Pediatr Surg 4:115–118.

    Article  PubMed  CAS  Google Scholar 

  45. State D (1963) Segmental colon resection in the treatment of congenital megacolon (Hirschsprung’s disease). Am J Surg 105:93–101.

    Article  PubMed  CAS  Google Scholar 

  46. Sullivan ES, Leaverton GH, Handwich CE (1968) Transrectal perineal repair; an adjunct to improved function after anorectal surgery. Dis Colon Rectum 11:106–114.

    Article  PubMed  CAS  Google Scholar 

  47. Swenson A, Bill AH (1948) Resection of rectum and rectosigmoid with preservation of the sphincter for benign spastic lesions producing megacolon. An experimental study. Surgery 24:212–223.

    PubMed  CAS  Google Scholar 

  48. Thomas CC, Bream CA, de Conninck P (1970) Posterior sphincterotomy and rectal myotomy in the management of Hirschsprung’s disease. Ann Surg 171:796–810.

    Article  PubMed  Google Scholar 

  49. Uhlig BE, Sullivan ES (1979) The modified Delorme operation. Dis Colon Rectum 22:513–521.

    Article  PubMed  CAS  Google Scholar 

  50. Vasilevsky CA, Nemer FD, Balcos EG, Christenson CE, Goldberg SM (1988) Is subtotal colectomy a viable option in the management of chronic constipation? Dis Colon Rectum 31:679–681.

    Article  PubMed  CAS  Google Scholar 

  51. Wallace WC, Madden WM (1969) Experience with partial resection of the puborectalis muscle. Dis Colon Rectum 12:196–200.

    Article  PubMed  CAS  Google Scholar 

  52. Wells C (1959) New operation for rectal prolaps. Proc R Soc Med 52:602–603.

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. L. W. M. Janssen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. T. J. M. V. van Vroonhoven
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Abteilung für Gastroenterologie, Chirurgische Klinik Innenstadt der Universität, Nußbaumstraße 20, D-8000, München 2, Deutschland

    Stefan A. Müller-Lissner

  2. Abteilung für Experimentelle Chirurgie, Academisch Ziekenhuis Utrecht, Postbus 85500, NL-3508 GA, Utrecht, Netherlands

    Louis M. A. Akkermans

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Janssen, L.W.M., van Vroonhoven, T.J.M.V. (1989). Chirurgische Therapie der chronischen Obstipation. In: Müller-Lissner, S.A., Akkermans, L.M.A. (eds) Chronische Obstipation und Stuhlinkontinenz. Interdisziplinäre Gastroenterologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74657-4_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-74657-4_24

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-74658-1

  • Online ISBN: 978-3-642-74657-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation