Presentation
In the other three patients the pain was present preoperatively but had decreased in intensity since the operation. Two patients (6 percent) still required assistance with bowel movements, one by laxatives and the other by enemas. [insights.ovid.com]
The frequency reduces with time due to intestinal adaptation. 5 A summary of the recent published results with total abdominal colectomy and ileorectal anastomosis is presented in Table 2. [ncbi.nlm.nih.gov]
Entire Body System
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Weakness
[…] inertia [ in-er shah ] ( L. ) inactivity; inability to move spontaneously. colonic inertia weak muscular activity of the colon, leading to distention of the organ and constipation. uterine inertia sluggishness of uterine contractions in labor. colonic [medical-dictionary.thefreedictionary.com]
Gastrointestinal
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Abdominal Pain
METHODS: METHODS:One hundred six patients who underwent subtotal colectomy for intractable constipation from 1982 through 1995 answered a detailed questionnaire regarding postoperative bowel function, symptoms of abdominal pain and bloating, and degree [journals.lww.com]
It is also difficult to perform a colonoscopy on patients with redundant tortuous colons and associated abdominal pain. [ncbi.nlm.nih.gov]
It can also be classified according to cause. [4] Signs and symptoms [ edit ] External signs and symptoms are constipation of very long duration, abdominal bloating, abdominal tenderness and tympany, abdominal pain, palpation of hard fecal masses and, [en.wikipedia.org]
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Diarrhea
Three patients (18 percent) complained of diarrhea ( 5 bowel movements per day) and incontinence of liquid stools (at least one episode a week). Nine patients (56 percent) were satisfied despite persistent symptoms. [journals.lww.com]
Diarrhea following colectomy is usually a short-term problem. However, in a few patients, the failure of intestinal adaptation can result in intractable diarrhea. [ncbi.nlm.nih.gov]
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Fecal Incontinence
Twenty-six percent suffered from fecal incontinence. In addition, 30% had orthostatic hypotension and 15… CONTINUE READING [semanticscholar.org]
Cardiovascular
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Hypotension
In addition, 30% had orthostatic hypotension and 15… CONTINUE READING [semanticscholar.org]
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Orthostatic Hypotension
In addition, 30% had orthostatic hypotension and 15… CONTINUE READING [semanticscholar.org]
Urogenital
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Incontinence
Twenty-six percent suffered from fecal incontinence. In addition, 30% had orthostatic hypotension and 15… CONTINUE READING [semanticscholar.org]
Three patients (18 percent) complained of diarrhea ( 5 bowel movements per day) and incontinence of liquid stools (at least one episode a week). Nine patients (56 percent) were satisfied despite persistent symptoms. [journals.lww.com]
Postoperative incontinence has been reported in 0 to 52% of patients with a mean of 14%. [ncbi.nlm.nih.gov]
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Pelvic Pain
Four patients complained of mild pelvic pain, only one of whom had the onset of pelvic pain postoperatively that persisted until the time of interview. [insights.ovid.com]
Neurologic
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Irritability
However, symptoms such as bloating and abdominal pain, which may be related to irritable bowel syndrome rather than the colonic inertia, may persist. [ncbi.nlm.nih.gov]
Treatment
Treatment for colonic inertia in these patients includes laxatives, prokinetics, and ultimately colectomy, which is associated with high morbidity and mortality in pSSc. [jrheum.org]
RESULTS: RESULTS:Electromyographic relaxation of pelvic floor musculature was demonstrated after the biofeedback treatment in all patients, but symptoms of difficult evacuation persisted. [journals.lww.com]
Constipation: results of surgical treatment. Br J Surg. 1985; 72 (Suppl):S12–S13. [ PubMed ] [ Google Scholar ] 8. Beck D E, Fazio V W, Jagelman D G, Lavery I C. Surgical management of colonic inertia. [ncbi.nlm.nih.gov]
Google Scholar Crossref Medline ISI Lane WA : The results of operative treatment of chronic constipation. Br Med J 1: 1125 - 1128, 1908. [journals.sagepub.com]
Etiology
In Wexner SD, Bartolo DC, editors: Constipation: Etiology, Evaluation and Management ( 1st ed ). London : Butterworth-Heinemann, 1985. [journals.sagepub.com]
Obstipation: etiology and diagnosis] Ned Tijdschr Geneeskd. 2000; 144 :878–884. [ PubMed ] [ Google Scholar ] 43. Webster C, Dayton M. Results after colectomy for colonic inertia: a sixteen-year experience. [ncbi.nlm.nih.gov]
Epidemiology
Epidemiology of constipation (EPOC) study in the United States: relation of clinical subtypes to sociodemographic features. Am J Gastroenterol. 1999; 94 :3530–3540. [ PubMed ] [ Google Scholar ] 3. [ncbi.nlm.nih.gov]