title: Reasons for creation of permanent ileostomy for the management of idiopathic chronic constipation.
abstract: The aim of the present study was to examine the reasons for initiation of end ileostomy for management of intractable constipation over the last 35 years. A total of 62 patients with intractable constipation, on whom an end ileostomy was created during the period from 1966 to 2001, were recorded. The incidence of initiating a terminal ileostomy as a further surgical intervention to the total number of managed patients in examined studies varied from 2 to 25%. Preoperative unevaluated anal and rectal abnormalities formed the highest proportion compared with other reasons (65%, 40/62). A better understanding of the functional colonic and anorectal abnormalities may facilitate changes in surgical therapy.
authors.affiliation: Department of Gastroenterology, City Hospital, Dudley Road, Birmingham B18 7QH, UK. atawil2003@hotmail.com
authors.forename: A M
authors.initials: AM
authors.lastname: El-Tawil
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D003248:Constipation / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007081:Ileostomy; D007082:Ileum / Q000601:surgery; D016896:Treatment Outcome