위배출 지연이 동반된 만성 서행성 변비증 환자에서 대장절제술 치험 2예

• Published in: The Korean journal of gastroenterology Vol. 34; no. 5; pp. 688 - 692
• Main Authors: 허애정, Ae Jung Huh, 박효진, Hyo Jin Park, 손승국, Seung Kook Sohn, 이창규, Chang Kyu Lee, 최소래, So Rae Choi, 이상인, Sang In Lee, 박인서, In Suh Park
• Format: Journal Article
• Language: Korean
• Published: 대한소화기학회 01.01.1999
• Subjects: Constipation; Gastric emptying; Generalized gastrointestinal dysmotility; Total abdominal colectomy
• ISSN: 1598-9992

Two patients with slow transit constipation were reviewed focusing on delayed gastric emptying and its relation to surgical treatment. These patients were identified by barium enema, colonic transit time, gastric emptying time and electogastrography. Colonic transit time and gastric emptying time were delayed in two cases and all cases were managed surgically. Upper gastrointestinal symptoms as well as constipation were improved after surgery, but gastric emptying time was still delayed in postoperative study. Another possible mechanism except "cologastric brake" may affect upper gastrointesitnal dysmotility in chronic constipation. Previous studies has identified two distinct types of colonic dysmotility (colonic inertia and generalized gastrointestinal dysmotility) and demonstrated the long-term success of total abdominal colectomy for colonic inertia. These results suggest that surgical treatment may be considered in the case of intractable generalized gastrointestinal dysmotility. (Kor J Gastroenterol 1999;34:688 - 692)