[Comparison of subtotal colectomy with antiperistaltic cecoproctostomy and total colectomy with ileoproctostomy in treating slow transit constipation].

Abstract

OBJECTIVE:

To compare clinical outcome and quality of life of subtotal colectomy with antiperistaltic cecoproctostomy and total colectomy with ileorectal anastomosis (TAC-IRA) in patients with severe slow transit constipation (STC).

METHODS:

Of the 56 patients enrolled in this study from January 1999 to June 2008, 32 cases underwent subtotal colectomy with antiperistaltic cecoproctostomy, and 20 patients underwent TAC-IRA. The patients' clinical characteristics, operative data, postoperative outcome, functional result and gastrointestinal quality of life index (GIQLI) survey were compared between the two groups.

RESULTS:

All patients were followed up for 1-7 years (median, 4 years). The basic clinical characteristics between the two groups was comparable. During the follow-up period, the number of daily bowel movements in the subtotal colectomy group was significantly fewer than that in TAC-IRA group (2.5+/-0.8 vs. 3.4+/-0.8; P=0.000). The Wexner continence score was significantly lower in subtotal colectomy group (4.4+/-1.6 vs. 5.8+/-1.9; P=0.011), and the GIQLI score in subtotal colectomy group was significantly higher than that in the TAC-IRA group (120.7+/-7.5 vs. 111.1+/-12.0; P=0.005).

CONCLUSION:

Subtotal colectomy with antiperistaltic cecoproctostomy appeared to be the superior treatment than the TAC-IRA for selected patients with slow transit constipation for improved functional outcomes and quality of life.

• Authors: Qun Qian, Cong-qing Jiang, Ya-jie Zhang, Zhi-su Liu, Yun-hua Wu, Ke-yan Zheng, Yue-ming He, Zhong-li Ai
• Journal: Zhonghua wai ke za zhi [Chinese journal of surgery] (Zhonghua Wai Ke Za Zhi) Vol. 47 Issue 24 Pg. 1849-51 (Dec 15 2009) ISSN: 0529-5815 [Print] China
• PMID: 20193399 (Publication Type: Comparative Study, English Abstract, Journal Article)

Topics

• Adult
• Aged
• Anastomosis, Surgical (methods)
• Cecum (surgery)
• Colectomy (methods)
• Constipation (surgery)
• Female
• Humans
• Ileum (surgery)
• Male
• Middle Aged
• Quality of Life
• Rectum (surgery)
• Retrospective Studies
• Treatment Outcome