Idiopathic acquired megacolon: the value of subtotal colectomy

Dis Colon Rectum. 1982 Mar;25(2):118-21. doi: 10.1007/BF02553250.


Forty-eight patients treated for chronic incapacitating constipation by surgical resection were reviewed. Thirty-seven had subtotal colectomy, eight had left colectomy, two had right hemicolectomy, and one had ileostomy, colectomy, and a Hartmann pouch. There were significant complications (21 per cent) and one mortality (2 per cent). A long-term successful outcome was found in 81 per cent of the patients on follow-up. Physiologic studies are recommended to improve the selection of patients.

MeSH terms

  • Adult
  • Aged
  • Chronic Disease
  • Colectomy / adverse effects
  • Colectomy / methods*
  • Constipation / surgery
  • Female
  • Humans
  • Length of Stay
  • Male
  • Megacolon / etiology
  • Megacolon / surgery*
  • Middle Aged
  • Retrospective Studies