{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T07:56:28Z","timestamp":1792050988548,"version":"4.4.0"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[1989,6,1]],"date-time":"1989-06-01T00:00:00Z","timestamp":612662400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1989,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Subtotal colectomy has been performed in 40 patients with severe constipation. Only one patient was male. Five patients (13 per cent) had a history of a serious psychiatric disorder. Twenty-six patients (65 per cent) could not expel a 100-ml air-filled balloon and 19 patients (48 per cent) had electromyographic evidence of abnormal puborectalls contraction during attempted defaecation before operation. Median preoperative passage of 50 radio-opaque markers over 5 days was 16 per cent. Sixteen patients had had a previous anorectal myectomy to exclude Hirschsprung's disease. Initial resections were subtotal colectomy and ileorectal anastomosis (n = 34), caecorectal (n = 5) or ileosigmoid (n = 1) anastomosis. Secondary operations included restorative proctocolectomy and ileal pouch\u2014anal anastomosis (n = 6) and six patients eventually had an ileostomy. Median bowel frequency per week significantly increased after operation (0\u00b73 (range 0\u20131) preoperatively to 21 (range 2\u201370) postoperatively, P &amp;lt; 0\u00b7005), the percentage of patients with abdominal pain fell after operation from 93 to 39 per cent but symptoms of abdominal distension remained the same (86 per cent preoperatively and 82 per cent postoperatively).<\/jats:p>","DOI":"10.1002\/bjs.1800760625","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T13:24:05Z","timestamp":1172928245000},"page":"600-604","source":"Crossref","is-referenced-by-count":77,"title":["Clinical results of colectomy for severe constipation"],"prefix":"10.1093","volume":"76","author":[{"given":"K","family":"Yoshioka","sequence":"first","affiliation":[{"name":"Department of Surgery, The General Hospital , Birmingham,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M R B","family":"Keighley","sequence":"additional","affiliation":[{"name":"Department of Surgery, The General Hospital , Birmingham,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1989,6,1]]},"reference":[{"key":"2024092807295451000_bib1","doi-asserted-by":"crossref","first-page":"1408","DOI":"10.1136\/bmj.1.2528.1408","article-title":"Chronic intestinal stasis","volume":"i","author":"Lane","year":"1909","journal-title":"Br Med J"},{"key":"2024092807295451000_bib2","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1002\/bjs.1800710726","article-title":"Results of colectomy for severe idiopathic constipation in women. (Arbuthnot Lane's disease)","volume":"71","author":"Preston","year":"1984","journal-title":"Br J Surg"},{"key":"2024092807295451000_bib3","first-page":"244","article-title":"Cathartic colon: surgical aspects","volume":"66","author":"Todd","year":"1973","journal-title":"Proc R Soc Med"},{"key":"2024092807295451000_bib4","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1002\/bjs.1800640502","article-title":"Idiopathic megacolon: a review of 42 cases","volume":"64","author":"Lane","year":"1977","journal-title":"Br J Surg"},{"key":"2024092807295451000_bib5","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1007\/BF02553250","article-title":"Idiopathic acquired megacolon: the value of subtotal colectomy","volume":"25","author":"Belliveau","year":"1982","journal-title":"Dis Colon Rectum"},{"key":"2024092807295451000_bib6","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1016\/0002-9610(83)90107-1","article-title":"Role of subtotal colectomy in the treatment of incapacitating constipation","volume":"145","author":"Klatt","year":"1983","journal-title":"Am J Surg"},{"key":"2024092807295451000_bib7","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1002\/bjs.1800670117","article-title":"Clinical and manometric evaluation of rectal prolapse and incontinence","volume":"67","author":"Keighley","year":"1980","journal-title":"Br J Surg"},{"key":"2024092807295451000_bib8","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1136\/gut.17.8.645","article-title":"Measurement of anal pressure and motility","volume":"17","author":"Hancock","year":"1976","journal-title":"Gut"},{"key":"2024092807295451000_bib9","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1136\/gut.19.1.64","article-title":"Sensibility of the rectum to distension and the anorectal distension reflex in ulcerative colitis","volume":"19","author":"Farthing","year":"1978","journal-title":"Gut"},{"key":"2024092807295451000_bib10","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1002\/bjs.1800740516","article-title":"Anorectal myectomy for outlet obstruction","volume":"74","author":"Yoshioka","year":"1987","journal-title":"Br J Surg"},{"key":"2024092807295451000_bib11","first-page":"779","article-title":"The surgical treatment of incapacitating constipation associated with idiopathic megacolon","volume":"54","author":"McCready","year":"1979","journal-title":"Mayo Clin Proc"},{"key":"2024092807295451000_bib12","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1016\/S0016-5085(19)31670-1","article-title":"Mechanisms of idiopathic constipation: outlet obstruction","volume":"75","author":"Martelli","year":"1978","journal-title":"Gastroenterology"},{"key":"2024092807295451000_bib13","first-page":"71","article-title":"Colectomy for slow transit constipation","volume":"69","author":"Walsh","year":"1987","journal-title":"Ann R Coll Surg Engl"},{"key":"2024092807295451000_bib14","first-page":"623","article-title":"Functional results after subtotal colectomy and caecorectal anastomosis","volume":"149","author":"Fasth","year":"1983","journal-title":"Acta Chir Scand"},{"key":"2024092807295451000_bib15","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1111\/j.1445-2197.1981.tb05926.x","article-title":"Surgery for constipation","volume":"51","author":"Hughes","year":"1981","journal-title":"Aust NZ J Surg"},{"key":"2024092807295451000_bib16","first-page":"1123","article-title":"Randomised trial comparing anorectal myectomy and controlled anal dilatation for outlet obstruction","volume":"74","author":"Yoshioka","year":"1987","journal-title":"Br J Surg"},{"key":"2024092807295451000_bib17","first-page":"A1373","article-title":"Do patients with disordered defaecation have a primary personality disorder?","volume":"28","author":"Fisher","year":"1987","journal-title":"Gut"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800760625","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/76\/6\/600\/59388841\/bjs1800760625.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/76\/6\/600\/59388841\/bjs1800760625.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T07:31:18Z","timestamp":1727508678000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/76\/6\/600\/6171392"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1989,6,1]]},"references-count":17,"journal-issue":{"issue":"6","published-online":{"date-parts":[[1989,6,1]]},"published-print":{"date-parts":[[1989,6,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800760625","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1989,6]]},"published":{"date-parts":[[1989,6,1]]}}}