[Outcomes after surgery for refractory constipation patients complicated with megacolon]

Area of Science:

• Gastroenterology
• Colorectal Surgery

Context:

• Refractory constipation with megacolon presents a significant clinical challenge.
• Surgical options are often considered for severe, intractable cases.

Purpose:

• To evaluate the efficacy of different surgical procedures for refractory constipation complicated with megacolon.
• To analyze surgical outcomes and complications in a cohort of 112 patients.

Summary:

• Retrospective analysis of 112 patients undergoing subtotal colectomy (Jinling procedure) or total colectomy with various ileal anastomosis techniques.
• All procedures demonstrated a 100% success rate with no surgical mortality.
• Postoperative complications included diarrhea, anal pain, urinary retention, bleeding, leakage, and obstruction, with significant improvement in Wexner constipation scores and malnutrition at 6 months.

Impact:

• Surgical intervention is a highly effective treatment for refractory constipation and megacolon.
• Understanding complication profiles aids in patient selection and postoperative management.
• Improved quality of life and nutritional status observed post-surgery.