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Laparoscopic subtotal colectomy for chronic idiopathic colonic pseudo-obstruction : A case report Tetsuhiro HARA 1 , Manabu SHIMOMURA 1 , Masanori YOSHIMITSU 2 , Kensuke SHINBARA 1 , Tomohiro ADACHI 1 , Naoki HIRABAYASHI 1 1Department of Surgery, Hiroshima City Asa Citizens Hospital 2Department of Surgery, Hiroshima City Hiroshima Citizens Hospital Keyword: 慢性特発性大腸偽性腸閉塞症 , 腹腔鏡手術 pp.57-63
Published Date 2021/1/15
DOI https://doi.org/10.11477/mf.4426200873
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 A 77-year-old woman was hospitalized on six occasions for constipation and abdominal fullness. Following contrast enema administration, she underwent abdominal computed tomography, which revealed significant colonic dilatation between the ascending and transverse colon. The bowel transit time test revealed reduced colorectal motility, and defecography revealed good anal function. Based on these findings, the patient was diagnosed with chronic idiopathic colonic pseudo-obstruction (CICP) and underwent laparoscopic subtotal colectomy. Her postoperative course was uneventful, and she was discharged without complifcations and did not experience any constipation or abdominal fullness thereafter. In case of drug resistance, CICP is thought to be a good candidate for operation. Laparoscopic surgery can be a feasible alternative.


Copyright © 2021, 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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