title: [Surgical management for slow-transit constipation].
abstract: Less than 10% of patients with slow-transit constipation require surgical management after failure of medical treatment. Preoperative clinical, psychological and colorectal routine investigations (ie colonic transit test, anorectal manometry and defecography) are mandatory in order to highly select the patients. To day, the surgical management of slow-transit constipation consists of subtotal colectomy with ileorectal anastomosis, eventually by laparoscopic approach. Although, surgical management improves slow-transit constipation in two thirds of the patients, small bowel obstruction, abdominal pain and constipation recurrence can occur in 25%, 50%, and 10% of the patients respectively.
authors.affiliation: Service de chirurgie digestive, hôpital Lariboisière, 2, rue Ambroise-Paré, 75010 Paris, France. arnaud.alves@lrb.ap-ho-paris.fr
authors.forename: A
authors.initials: A
authors.lastname: Alves
authors.forename: B
authors.initials: B
authors.lastname: Coffin
authors.forename: Y
authors.initials: Y
authors.lastname: Panis
mesh_terms: D003248:Constipation / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D013997:Time Factors
vernacular_title: Traitement chirurgical de l'inertie colique.