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[Standardization and implementation of operation for slow transit constipation].

Zhongcheng Huang1

  • 1Department of Colorectal and Anal Surgery, Hunan Provincial People's Hospital(The First Affiliated Hospital of Hunan Normal Universitty), Changsha 410005, China. huangzc369@163.com.

Zhonghua Wei Chang Wai Ke Za Zhi = Chinese Journal of Gastrointestinal Surgery
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Standardized surgical treatment for slow transit constipation (STC) is crucial due to increasing incidence and treatment challenges. This review outlines best practices for patient selection, surgical procedures, and postoperative care to improve outcomes for chronic constipation patients.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Slow transit constipation (STC) is a chronic condition often unresponsive to conservative management.
  • Surgical intervention for STC is increasingly considered, but faces challenges in patient selection and standardized protocols.
  • Rising incidence of STC necessitates optimized treatment strategies.

Purpose of the Study:

  • To discuss standardized surgical treatment for STC based on current literature and expert experience.
  • To address issues in current clinical practice, including patient selection and postoperative care.
  • To provide a comprehensive overview of operative indications, assessment, procedures, and follow-up.

Main Methods:

  • Literature review of recent studies on STC surgical management.
  • Analysis of clinical practice challenges and proposed solutions.
  • Synthesis of author's experience in STC surgical treatment.

Main Results:

  • Current surgical practices for STC lack standardization, leading to potential complications.
  • Multidisciplinary approaches are recommended due to the complex pathophysiology of STC.
  • Standardized protocols are essential for optimizing surgical outcomes in STC patients.

Conclusions:

  • Standardized surgical treatment, encompassing rigorous patient selection and comprehensive postoperative management, is vital for STC.
  • Addressing current clinical practice gaps can mitigate overtreatment and serious complications.
  • A multidisciplinary approach and adherence to standardized protocols can improve the efficacy of STC surgery.