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Laparoscopy-assisted subtotal colectomy of chronic idiopathic colonic pseudo-obstruction : a case report Takashi MAEDA 1 , Kazuhiro HIRAMATSU 1 , Yoshihisa SHIBATA 1 , Seiji NATSUME 1 , Taro AOBA 1 1Department of General Surgery, Toyohashi Municipal Hospital Keyword: 慢性特発性大腸偽性腸閉塞症 , 偽性腸閉塞 , 腹腔鏡下手術 pp.205-210
Published Date 2014/3/15
DOI https://doi.org/10.11477/mf.4426101076
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The patient is a 43 year-old woman. For 12 years, she consulted a nearby doctor for severe constipation. Barium enema revealed significant colonic expansion between her ascending colon and one third oral side of the descending colon. Her rectal mucosal biopsy diagnosed negative findings of aganglionosis. As a result, she was diagnosed as chronic idiopathic colonic pseudo-obstruction(CICP). Considering its resistance to drug therapy, we performed a laparoscopy-assisted resection of the expanded colon. The postoperative course was uneventful and the patient was discharged without any complications. Currently, we are managing her bowel movement in outpatient. She has improved and requires fewer laxatives and enemas. In general, CICP is thought to be a good candidate for operation. We emphasize laparoscopy-assisted resection is a feasible alternative.


Copyright © 2014, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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