Surgical Outcomes after Total Colectomy with Ileorectal Anastomosis in Patients with Medically Intractable Slow Transit Constipation.
10.3393/jksc.2011.27.4.180
- Author:
Guiyun SOHN
1
;
Chang Sik YU
;
Chan Wook KIM
;
Jae Young KWAK
;
Tae Young JANG
;
Kyung Ho KIM
;
Song Soo YANG
;
Yong Sik YOON
;
Seok Byung LIM
;
Jin Cheon KIM
Author Information
1. Department of Colon and Rectal Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. csyu@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Colonic inertia;
Colectomy;
Treatment outcome;
Postoperative complication
- MeSH:
Colectomy;
Constipation;
Female;
Humans;
Ileus;
Intraoperative Complications;
Male;
Postoperative Complications;
Retrospective Studies;
Treatment Outcome
- From:Journal of the Korean Society of Coloproctology
2011;27(4):180-187
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The aim of this study was to evaluate outcomes of a total colectomy with ileorectal anastomosis in patients with slow transit constipation. METHODS: A retrospective review of 37 consecutive patients with slow transit constipation who underwent a total colectomy between 1994 and 2008 was undertaken. Preoperative and postoperative Wexner's constipation scores were collected and used to evaluate the outcomes after surgical treatment. Also patients' postoperative satisfaction scores were collected using a 4-point scale. RESULTS: The 37 patients consisted of 31 women and 6 men, with a median age of 41 years (range, 17 to 71 years). Pre- and post-operative Wexner's scores were collected from 33 patients (89.1%), and the mean preoperative Wexner's score was 19.3 (range, 11 to 24), which decreased to an average post-operative score of 2.3 (range, 0 to 8). Neither intraoperative complications nor postoperative mortalities were noted. Five patients (13.5%) had early postoperative complications, and the most common complication was postoperative ileus (10.8%). Seven patients (18.9%) had late postoperative complications, and postoperative ileus (10.8%) was also the most common. Twenty seven of 33 patients were satisfied with their surgical outcome (81.8%). CONCLUSION: A total colectomy with ileorectal anastomosis might be an effective surgical procedure with acceptable morbidity to treat medically intractable slow transit constipation.
