Surgical therapy for colonic slow transit constipation: an analysis of 89 cases / 中国普通外科杂志

ABSTRACT

Objective To evaluate the result of different surgical modality on colonic slow transit constipation. Methods We retrospectively reviewed clinical data of 89 patients with intractable colonic slow transit constipation undergoing surgical treatment for 94 times from Oct 1990 to Nov 2002. Results Six patients undergoing total colectomy suffered transit diarrhea and one with intractable diarrhea (16. 7% ) but without constipation recurrence. Nineteen out of 73 cases undergoing subtotal colectomy suffered from transit diarrhea (26% ) , and one case suffered from constipation recurrence. Cecorectostomy was performed in 12 cases with a comparable result as subtotal colectomy. Constipation recurred in all 3 cases receiving partial colectomy. There was no operative mortality nor anastomotic fistula occurrenced. Conclusion Total colectomy, subtotal colectomy and cecorectostomy are satisfactory modality for the treatment of STC. Patients with total colectomy suffered from high rate of diarrhea.