[Efficacy and safety of combined use of subtotal colectomy and modified Duhamel procedure in the surgical treatment of severe functional XXXX ].

@entity1 @entity1488 @entity294 @entity694 @entity490 @entity2057 @entity1142
OBJECTIVE: To explore the satisfactory surgical procedure for severe functional @entity1142 (SFC). METHODS: The data of 50 SFC @entity1 , undergone subtotal colectomy and modified Duhamel procedure from Sep. 2000 to @entity1488 . 2005, were analyzed retrospectively. Gastrointestinal quality of life (GIQOL) of these @entity1 were also evaluated. RESULTS: All the 50 @entity1 failed to respond to conservative treatment and accepted subtotal colectomy and modified Duhamel procedure after finding pathological changes by the examination of colonoscopy, colon transit time (CTT) and dynamic proctography (DPG). Twenty-seven out of 50 cases (54%) showed @entity2057 and 29 out of 50 cases (58%) showed @entity694 . The mean follow-up time after surgical treatment was (2.4+/-1.2) years. GIQOL and @entity1142 index improved dramatically after operations. Forty-four out of 50 @entity1 (88%) were satisfied with their postoperative evacuation. Nine @entity1 complained minor @entity490 ,3 @entity1 @entity294 and 2 @entity1 recurrence of @entity1142 , who were healed by the use of bulk-forming laxatives and GI-mobility drugs. CONCLUSION: The combination of modified Duhamel procedure and subtotal colectomy is an effective surgical procedure for the treatment of SFC.
