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Laparoscopic subtotal colectomy for colonic inertia.

Cliff Sample1, Rohit Gupta, Fahad Bamehriz

  • 1Centre for Minimal Access Surgery, McMaster University, Hamilton, Ontario, Canada.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
|June 30, 2005
PubMed
Summary

Laparoscopic subtotal colectomy effectively treats colonic inertia, a rare condition causing severe constipation. This surgery significantly improved bowel function and patient satisfaction in a study of 14 women.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Colonic inertia is a rare functional gastrointestinal disorder characterized by severe constipation.
  • Symptoms often include abdominal pain, bloating, and nausea, significantly impacting quality of life.
  • Surgical intervention may be considered for refractory cases unresponsive to conservative management.

Purpose of the Study:

  • To evaluate the efficacy and safety of laparoscopic subtotal colectomy for treating colonic inertia.
  • To assess patient outcomes and satisfaction following the procedure.

Main Methods:

  • Retrospective review of 14 patients undergoing laparoscopic subtotal colectomy for colonic inertia between 1993 and 2002.
  • Data collected included patient demographics, preoperative symptoms, surgical details, postoperative recovery, and long-term follow-up.

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  • Surgical success was measured by symptom relief, bowel movement frequency, and patient satisfaction.

    • Main Results:

    • The mean patient age was 38.5 years, with 93% being women.
    • Common symptoms included constipation (100%), bloating (100%), abdominal pain (93%), and nausea (57%).
    • Ninety-one percent of patients reported excellent satisfaction, with a significant increase in weekly bowel movements (1.2 to 17.2; P < 0.001).

    Conclusions:

    • Laparoscopic subtotal colectomy offers excellent symptom relief and high patient satisfaction for medically refractory colonic inertia.
    • While effective, a subset of patients may continue to experience residual symptoms or require laxatives postoperatively.