Constipation surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]

Overview

Surgery is not the first-line treatment option for patients with constipation. Surgery is usually reserved for patients with either rectopexy, total colectomy, and subtotal colectomy with ileorectal anastomosis.

Indication

Surgery is not the first-line treatment option for patients with constipation. Surgery is usually reserved for patients with either:^[1]^[2]

Anorectal obstruction due to:
- Rectocele
- Rectal prolapse
Hirschsprung disease
Megacolon
Severe slow-transit constipation refractory to medical therapy

Surgery

Following surgeries may be used in patients with constipation if indicated:^[1]^[2]

Rectopexy: Anorectal obstruction due to rectocele or rectal prolapse
Total colectomy: Hirschsprung disease or megacolon
Subtotal colectomy with ileorectal anastomosis: Severe slow-transit constipation refractory to medical therapy

References

↑ ^1.0 ^1.1 “Treatment for Constipation | NIDDK”.
↑ ^2.0 ^2.1 Liu LW (2011). “Chronic constipation: current treatment options”. Can J Gastroenterol. 25 Suppl B: 22B–28B. PMC 3206558. PMID 22114754.

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[urlTreatment_for_Constipation_|_NIDDK-1] 1.0 ^1.1 “Treatment for Constipation | NIDDK”.

[pmid22114754-2] 2.0 ^2.1 Liu LW (2011). “Chronic constipation: current treatment options”. Can J Gastroenterol. 25 Suppl B: 22B–28B. PMC 3206558. PMID 22114754.

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