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[Severe obstipation in the mentally ill and disabled].
- Source :
-
Zentralblatt fur Chirurgie [Zentralbl Chir] 1998; Vol. 123 (5), pp. 525-30. - Publication Year :
- 1998
-
Abstract
- Severe constipation is a well recognized symptom amongst disabled or mentally ill patients. Characteristically, these patients live without bowel movements for days and present themselves with abdominal distension and fecal impaction. Inpatient treatment is necessary frequently. Due to intestinal obstruction, diagnostic approaches are often delayed because of lack of cooperation. Data of 94 disabled patients with severe obstipation are presented. 54 patients were admitted to inpatient treatment of constipation or bowel obstruction, 40 were treated for another diagnosis but had severe constipation which required intervention. Ileus or conservatively untreatable constipation led to 16 operations in 14 patients (polypectomy 2, rectopexy 1, cecostoma 5, left hemicolectomy 3, subtotal colectomy 5). Cecostomata are considered not to be effective as definite treatment whereas colonic resection resulted in daily bowel movements.
- Subjects :
- Adult
Aged
Aged, 80 and over
Chronic Disease
Colectomy
Comorbidity
Constipation etiology
Constipation surgery
Cross-Sectional Studies
Fecal Impaction etiology
Fecal Impaction surgery
Female
Germany
Humans
Ileus etiology
Ileus surgery
Intellectual Disability complications
Intestinal Obstruction etiology
Intestinal Obstruction surgery
Male
Middle Aged
Constipation epidemiology
Disabled Persons statistics & numerical data
Fecal Impaction epidemiology
Ileus epidemiology
Intellectual Disability epidemiology
Intestinal Obstruction epidemiology
Persons with Mental Disabilities statistics & numerical data
Subjects
Details
- Language :
- German
- ISSN :
- 0044-409X
- Volume :
- 123
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Zentralblatt fur Chirurgie
- Publication Type :
- Academic Journal
- Accession number :
- 22462222