J Korean Soc Endosc Laparosc Surg.  2010 Dec;13(2):153-156.

Laparoscopically Assisted Total Colectomy with J-pouch Formation for Intractable Chronic Constipation due to Hypoganglionosis: A Case Report

• Yang SJ
• Ahn EJ
• Park SH
• Kim JH
• Ahn HS
• Park JM

Abstract

Chronic constipation has been successfully treated with specific medications and bio-feedback therapy. Surgical manipulation for this condition can be an option when non-surgical interventions fail. We report here on a patient who was diagnosed as having intractable chronic constipation with hypoganglionosis. The patient was a 60 year-old male with the history of seizure and diabetes. This patient did not gain any clinical benefits from non-surgical regimens. Therefore, we performed a laparoscopically assisted total colectomy with J-pouch ileorectal anastomosis on this patient. The patient recovered from the surgery without complications and he had normal bowel functions. The postoperative anatomical pathology revealed a hypogaglionosis. In conclusion, a laparoscopically assisted total colectomy for a patient with intractable chronic constipation with hypoganglionosis is a good option and it may be a curative method.

Keyword

Intractable chronic constipation; Hypoganglionosis; Total colectomy

MeSH Terms

Colectomy
Colonic Pouches
Constipation
Humans
Male
Seizures