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[Subtotal colectomy with cecorectal end-side anastomosis in the treatment of slow transit constipation]

Feng Gao¹, Ming Xu, Weiqiang Wu

¹Department of Anorectal Surgery, General Hospital of Lanzhou Military Area Command of Chinese PLA, Lanzhou 730050, China. gaof678@sohu.com.

Zhonghua Wei Chang Wai Ke Za Zhi = Chinese Journal of Gastrointestinal Surgery

|July 30, 2014

Abstract

Objective:

To study the feasibility of subtotal colectomy with cecorectal end-side anastomosis for slow transit constipation.

Methods:

Retrospective analysis was performed on 23 patients with colon slow transit constipation treated by subtotal colectomy with cecorectal end-side anastomosis in our department from March 2006 to April 2013. The main measure outcome was the curative effect on constipation by this type of surgery.

Results:

Twenty-three patients were successfully treated. Anastomotic leakage occurred in one case, and urinary retention in 1 case, while no anastomotic stricture, abdominal bleeding, abdominal hernia, incontinence and other complications occurred. During follow-up of 2 months to 7 years, defecation frequency was 1-4 times a day with no need of antidiarrheal agents. Each time of defecation was less than 5 min. All the patients had no recurrence of constipation.

Conclusion:

Subtotal colectomy with cecorectal end-side anastomosis can be used to treat colon slow transit constipation, while accurate preoperative evaluation and strict indications for the surgery is the key to success.

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