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Hand-assisted laparoscopic subtotal colectomy with cecorectal anastomosis for chronic idiopathic colonic pseudo-obstruction: report of a case

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Abstract

Chronic idiopathic colonic pseudo-obstruction (CICP) is characterized by the chronic disturbance of colonic motility without mechanical obstruction, any underlying disease or medication. Currently, there are no established medical treatments for CICP. A 62-year-old female who had undergone right hemicolectomy for splenic flexure syndrome caused by idiopathic megacolon was referred to our hospital with relapse, experiencing palpitation and abdominal fullness. She was diagnosed with CICP according to findings of marked dilation of the colon without mechanical obstruction, dilation of other parts of the gastrointestinal tract, or underlying disease. The dilated colon was surgically removed by hand-assisted laparoscopic subtotal colectomy, followed by cecorectal anastomosis. Histopathologically, there was no degeneration or lack of ganglion cells in Auerbach’s plexus. The patient has experienced no severe symptoms after undergoing the present operation.

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Conflict of interest

K. Miyazaki and co-authors have no conflict of interest to declare.

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Authors and Affiliations

  1. Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan

    Kensuke Miyazaki, Yasuhiro Torashima, Satoshi Mochizuki, Seiya Susumu, Kengo Kanetaka, Susumu Eguchi, Takashi Kanematsu & Fumihiko Fujita

  2. Department of Pathology, Nagasaki University Hospital, Nagasaki, Japan

    Kuniko Abe

Authors
  1. Kensuke Miyazaki
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  2. Yasuhiro Torashima
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  3. Satoshi Mochizuki
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  4. Seiya Susumu
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  5. Kengo Kanetaka
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  6. Susumu Eguchi
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  7. Takashi Kanematsu
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  8. Kuniko Abe
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  9. Fumihiko Fujita
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Correspondence to Kensuke Miyazaki.

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Miyazaki, K., Torashima, Y., Mochizuki, S. et al. Hand-assisted laparoscopic subtotal colectomy with cecorectal anastomosis for chronic idiopathic colonic pseudo-obstruction: report of a case. Surg Today 44, 581–585 (2014). https://doi.org/10.1007/s00595-012-0430-3

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  • DOI: https://doi.org/10.1007/s00595-012-0430-3

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