Results of colectomy for severe slow transit constipation
- 1 January 1996
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Diseases of the Colon & Rectum
- Vol. 39 (1), 23-29
- https://doi.org/10.1007/bf02048263
Abstract
This study assesses the outcome of a standardized operation performed by two surgeons for severe idiopathic slow transit constipation that was resistant to laxative treatment. Fifty-nine consecutive patients, 4 men and 55 women, with a mean age of 42.3 years, underwent colectomy with ileorectal anastomosis. Slow colonic transit was demonstrated in each case. Fifty-two patients were available for follow-up, with median time to follow-up being 42 (range, 3-81) months. Median bowel frequency was 4 per 24 hours. Sixty-nine percent had four or less bowel movements daily. Ten percent used antidiarrheal medication regularly. One patient had a stoma for recurrent severe constipation. Mean continence score was 1.8 (on a scale of 0-20); six patients were incontinent, and four of these six had normal preoperative anal manometry. Fourteen patients (27 percent) had difficulty with rectal evacuation. Preoperative defecating proctography was a poor predictor of postoperative evacuation difficulties. Twenty-seven patients (52 percent) had persisting abdominal pain, but there was a significant improvement in the degree of pain (PCONCLUSION: Colectomy with ileorectal anastomosis produces a satisfactory functional outcome in the majority of patients undergoing surgery for severe constipation with proven slow colonic transit.Keywords
This publication has 19 references indexed in Scilit:
- THE ANORECTAL ANGLE IS NOT A RELIABLE PARAMETER ON DEFAECATING PROCTOGRAPHYAnz Journal of Surgery, 1993
- Colectomy for constipationDiseases of the Colon & Rectum, 1991
- Evaluation and Surgical Treatment of Severe Chronic ConstipationAnnals of Surgery, 1991
- Clinical results of colectomy for severe constipationBritish Journal of Surgery, 1989
- Do patients with haemorrhoids have pelvic floor denervation?International Journal of Colorectal Disease, 1988
- Is subtotal colectomy a viable option in the management of chronic constipation?Diseases of the Colon & Rectum, 1988
- Outcome of colectomy for severe idiopathic constipation.Gut, 1988
- Results of colectomy for severe idiopathic constipation in women (Arbuthnot Lane's disease)British Journal of Surgery, 1984
- Idiopathic acquired megacolonDiseases of the Colon & Rectum, 1982
- An Address ON CHRONIC INTESTINAL STASISBMJ, 1909