Case Series
Volume 8 Issue 8 - 2021
Severe Chronic Constipation due to Dolichosigmoid Resolved by Laparoscopy: A Case Series Report
Alejandro Weber Sánchez1*, Pablo Weber Álvarez2 and Denzi Garteiz Martínez1
1Department of General Surgery, Angeles Lomas Hospital, Huixquilucan, Mexico
22General Physician, Angeles Lomas Hospital, Huixquilucan, Mexico
*Corresponding Author: Alejandro Weber Sánchez, Department of General Surgery, Angeles Lomas Hospital, Huixquilucan, Mexico.
Received: June 14, 2021; Published: July 19, 2021


Chronic constipation is a common problem with multiple etiologies that has a substantial negative impact on the patient’s quality of life. Mechanical reasons for this, such as dolichocolon or dolichosigmoid, often makes conventional treatment with medication and laxatives unsuccessful, turning the situation frustrating for patients and doctors. Surgical resolution in well evaluated patients with dolichocolon and slow transit time, has proven to be a good option if medical treatment has failed. The objective of this paper is to report the results of a series of five patients with severe chronic constipation secondary to dolichosigmoid resolved by laparoscopic sigmoidectomy.

Keywords: Chronic Constipation; Dolichocolon; Dolichosigmoid; Laparoscopy; Laparoscopic Colectomy


  1. Gong H., et al. “Herbal Formula Modified Buzhong-Yiqi-Tang for Functional Constipation in Adults: A Meta-Analysis of Randomized Controlled Trials”. Evidence-Based Complementary and Alternative Medicine 16 (2018): 9602525.
  2. Sanchez MI and Bercik P. “Epidemiology and burden of chronic constipation”. Canadian Journal of Gastroenterology 25 (2011): 11B-15B.
  3. Belsey J., et al. “Systematic review: impact of constipation on quality of life in adults and children”. Alimentary Pharmacology and Therapeutics 31 (2010): 938-949.
  4. Forootan M., et al. “Chronic constipation: A review of literature”. Medicine 20 (2018): e10631.
  5. Rao SS., et al. “Diagnosis and management of chronic constipation in adults”. Nature Reviews Gastroenterology and Hepatology 13 (2016): 295-305.
  6. Wald A. “Constipation advances in diagnosis and treatment”. The Journal of the American Medical Association 315 (2016): 185-119.
  7. Ewing M. “Dolichocolon”. ANZ Journal of Surgery 45 (1975): 160-163.
  8. Raahave D. “Dolichocolon revisited: An inborn anatomic variant with redundancies causing constipation and volvulus”. World Journal of Gastrointestinal Surgery 10 (2018): 6-12.
  9. Monterossi P. “Über widernatürlische Biegungen des Dickdarms als Uhrfache des Todes neugeborener Kinder”. Deutsch Archives of Physiology 6 (1820): 556-571.
  10. La Rochelle FD and Smith EE. “The Dolichocolon”. Radiology 18 (1932): 111-114.
  11. Chiray M. “Le dolichocolon; Clinique-radiologie-thérapeutique”. 1st Paris, France: Paris, Masson et cie (1931).
  12. Treves F. “Lectures on the Anatomy of the Intestinal Canal and Peritoneum in Man”. British Medical Journal 1 (1885): 415-419.
  13. Bryant J. “Observations upon the growth and length of the human intestine”. The American Journal of the Medical Sciences 167 (1924): 499-520.
  14. Kantor JL. “Common anomalies of the duodenum and colon: Their practical significance”. The Journal of the American Medical Association 97 (1931): 1785-1790.
  15. Metcalf AM., et al. “Simplified assessment of segmental colonic transit”. Gastroenterology 92 (1987): 40-47.
  16. Lane A. “The results of the operative treatment of chronic constipation”. BMJ 1 (1908): 126-130.
  17. Roland G. “Interet de la chirurgie dans le traitement du oolichomegacolon pathologique non compliqué (A propos de 42 cas) (1979).
  18. Dzhavadov EA., et al. “Dolichocolon as a reason of chronic constipation”. Khirurgiia 7 (2010): 25-27.
  19. Hughes ESR., et al. “Surgery for Constipation”. In: Heberer G., Denecke H. (editions) Colo-rectal Surgery”. Springer, Berlin, Heidelberg (1982).
  20. Davis DA. “A new concept in the treatment of symptomatic redundant colon or dolichocolon”. Journal of Gynecologic Surgery 68 (1960): 101-106.
  21. Hollender LF., et al. “Dolichocolon in adults: surgical indications”. Acta Gastro-Enterologica Belgica 28 (1965): 550-567.
Citation: Alejandro Weber Sánchez., et al. “Severe Chronic Constipation due to Dolichosigmoid Resolved by Laparoscopy: A Case Series Report” EC Gastroenterology and Digestive System 8.8 (2021): 34-41.

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