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J Korean Soc Endosc Laparosc Surg. 2010 Dec;13(2):153-156. Korean. Case Report.
Yang SJ , Ahn EJ , Park SH , Kim JH , Ahn HS , Park JM .
Department of Surgery, National Medical Center, Seoul, Korea.
Department of Pathology, National Medical Center, Seoul, Korea.

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.

Copyright © 2019. Korean Association of Medical Journal Editors.