J.Jpn. Surg. Soc.. 60(6): 1057-1072, 1959

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STUDY ON SURGICAL TREATMENT FOR CHRONIC DISORDERS OF THE INTESTINAL MOVEMENT

Chronic disorders of the intestinal movement (constipation and diarrhea) will be devided into right and left types judging from the causing segment of the colon. One hundred cases were treated by cecoplication, ileocecal resection or right hemicolectomy for the right type, and resection of sigmoidal segment or sympathectomy of the superior hypogastric plexus for the left type.
The late results were studied by means of comparing with their preoperative clinical, x-ray, operative and histopathological findings.
In a majority of the cases were found many of organic changes such as abnormal placed mobile cecum or hepatic flexura, relaxation, membraneous adhesion, cicatric mesenteritis, elongation of the sigmoid, or degeneration of the muscularis etc., which were usually difficult to be found out by routine clinical examination.
The results were satisfactory in more than seventy-five per cent of resected cases, but in only less than twenty-five per cent of sympathectomized cases. The causes of unsatisfactory results were studied.
(author's abstract)

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