CHRONIC IDIOPATHIC COLONIC PSEUDO-OBSTRUCTION RESPONDING TO SUBTOTAL COLECTOMY IN AN ADULT

A 41-year-old woman with chronic idiopathic colonic pseudo-obstruction (CICP) underwent partial colectomy two times after various conservative therapies were not entirely effective. Subtotal colectomy including dilated colon reduced the abdominal complaint. CICP is characterized by massive dilatatio...

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Bibliographic Details
Published inNihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 60; no. 11; pp. 2959 - 2963
Main Authors IWATA, Geoge, MUTO, Fumitaka, LEE, Chol Joo, KURIOKA, Hideaki, HOSOKAWA, Yohei
Format Journal Article
LanguageEnglish
Published Japan Surgical Association 1999
Subjects
CICP
CIIP
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Summary:A 41-year-old woman with chronic idiopathic colonic pseudo-obstruction (CICP) underwent partial colectomy two times after various conservative therapies were not entirely effective. Subtotal colectomy including dilated colon reduced the abdominal complaint. CICP is characterized by massive dilatation of the colon without any organic obstruction. The etiology of this disease is unknown and is an isolated condition rather than a part of chronic intestinal pseudo-obstruction (CIIP), in which abnormal motilities appear throughout the entire gastro-intestinal tract. Twenty-nine cases between 1981 and 1997, including our case, were retrospectively reviewed from the Japanese literature. Either total or subtotal colectomy is required when conservative managemant, such as colonic decompression or medical treatment fails.
ISSN:1345-2843
1882-5133
DOI:10.3919/jjsa.60.2959