O.Yu. KARPUKHIN^1,2, A.F. SHAKUROV², N.Yu. SAVUSHKINA¹, E.V. MOZHANOV^1,2, S.N. KOLOMENSKIY¹, A.A. GILMUTDINOV¹, E.V. CHERENKOV¹, R.R. ZARIPOV¹, A.A. ELEYEV²

¹Republican Clinical Hospital of the Ministry of Healthcare of the Republic of Tatarstan, 138 Orenburgskiy Trakt, Kazan, Russian Federation 420068

²Kazan State Medical University, 49 Butlerov St., Kazan, Russian Federation 420012 

Karpuknin O.Y. — D. Med. Sc., Professor of the Department of Surgical Diseases № 1, tel. (843) 269-00-53, e-mail: oleg_karpukhin@mail.ru^1,2

Shakurov A.F. — postgraduate student of the Department of Surgical Diseases № 1, tel. +7-904-660-11-39, e-mail: aydarsha@yandex.ru²

Savushkina N.Yu. — Cand. Med. Sc., doctor of Ultrasonic Diagnostics Department, tel. (843) 237-34-86, e-mail: oleg_karpukhin@mail.ru¹

Mozhanov E.V. — D. Med. Sc., Assistant Lecturer of the Department of Surgical Diseases № 1, doctor of Coloproctology Department, tel. (843) 269-00-53, e-mail: e.mozhanov@gmail.com^1,2

Kolomenskiy S.N. — Head of Coloproctology Department, tel. (843) 269-00-53, e-mail: sergey-kolomenskiy@yandex.ru¹

Gilmutdinov A.A. — doctor of Coloproctology Department, tel. (843) 269-00-53, e-mail: anasgilm@mail.ru¹

Cherenkov E.V. — doctor of Coloproctology Department, tel. (843) 269-00-53, e-mail: evgen.63@mail.ru1

Zaripov R.R. — doctor of Coloproctology Department, tel. (843) 269-00-53, e-mail: zrland@rambler.ru¹

Eleyev A.A. — postgraduate student of the Department of Surgical Diseases № 1, tel. (843) 269-00-53, e-mail: alim1425@mail.ru² 

The results of treatment of 540 patients with chronic constipation of nonneoplastic genesis are analysed. The diagnostic and treatment algorithm for patients with chronic constipation is presented. The proposed algorithm of diagnostics allows to establish anomalies in the structure and location of the colon, to assess its functional state, to carry out differential diagnostics with Hirschsprung’s disease.

The effect of conservative therapy was observed in 458 (84,8%) patients, ad  it is noted that chronic constipation in patients with normal architectonics of colon has a benign clinical course. 82 (15,2%) patients with chronic constipation as a consequence of various anomalies of structure and fixation of colon in the abdominal cavity were operated. A choice of intervention depended on the causes of constipatin syndrome established during complex examination and also were based on the functional conditions of the intestine. The analysis of the long-term results for the period from 9 months to 15 years shows that surgery of chronic constipation can be effective if patients are carefully selected and balanced approach is applied whenchoosing the surgical intervention volume.

Key words: chronic constipation, diagnosis, surgical treatment, long-term results.

 

 

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