Ann Coloproctol.  2017 Dec;33(6):249-252. 10.3393/ac.2017.33.6.249.

Side-to-Side Ileosigmoidostomy Shunting Surgery for the Treatment of Elderly Patients With Chronic Constipation

• Handaya Y
• Maryanto A
• Marijata

• KMID: 2439843
• DOI: http://doi.org/10.3393/ac.2017.33.6.249

Abstract

Constipation is a digestive disorder that often occurs in the elderly; its main cause is bowel motility disorder. Treatments for patients with chronic constipation include pharmacotherapy, diet changes, and surgery if other therapies do not offer satisfactory results. We describe 4 patients, 2 men (70 and 65 years old) and 2 women (75 and 66 years old), who were diagnosed with chronic constipation (slow transit constipation) and treated with conventional therapy, but did not improve. For that reason, side-to-side ileosigmoidostomy shunting surgery was performed. After the surgery, the average time until normal defecation was 16 days, and the defecation frequency was 3 to 4 times a day with no need for a laxative. No patient had a recurrence of constipation. Based on these results, side-to-side ileosigmoidostomy shunting surgery is expected to restore digestive function and can be considered as an alternative therapy for elderly patients with chronic constipation.

Keyword

Constipation; Colostomy; Defecation; Laxatives; Intestinal diseases

MeSH Terms

Aged*
Colostomy
Constipation*
Defecation
Diet
Drug Therapy
Female
Humans
Intestinal Diseases
Laxatives
Male
Recurrence
Laxatives