Korean J Neurogastroenterol Motil.
2006 Dec;12(2):166-169.
A Case of Iatrogenic Megacolon that Presented with Abdominal Distension
- Affiliations
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- 1Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. chongil.sohn@samsung.com
- 2Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
- 3Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Abstract
- Although only a few of the patients with severe or intractable constipation become candidates for surgical intervention, various surgical procedures for constipation have been developed since the beginning of the 20th century. The most widely accepted surgical procedure for slow transit constipation is currentlya total colectomy with either ileosigmoidal or ileorectal anastomosis. However, various surgical procedures have been tried until now and end-to-end ileosigmoidostomy with exclusion of the entire colon is one of the bypass surgeries. We present here a case of iatrogenic megacolon that presented with abdominal distension as a long term complication of bypass surgery for a patient with severe constipation.
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