Evaluation of colon slow transit constipation

Abstract

Objective To observe the results of three kinds of surgical modality(total colectomy,subtotal colectomy and cecoreetostomy)in the treatment of colonic slow transit constipation(STC)and to discuss the reasonable surgical therapeutic method of STC.Methods The clinical data of 35 patients with intractable colonic slow transit constipation undergoing surgical treatment were retrospectively reviewed from Mar.2000 to Jan.2008,ten of them undergoing total colectomy,12 undergoing subtotal colectomy and 13 sufferins cecorectostomy.Results After surgery,the symptoms of defecation difficulty,stool traits,bearing down,frequency and abdominal distention were improved obviously.The relapse rate in cecorectostomy wassignificantly higher than that of the total colectomy(P<0.01).Condusiom Total colectomy,subtotal colecstomy and cecorectostomy are all satisfactory modalities for the treatment of STC.Patients with total colectomy may cause higher rate of diarrhea.So appropriate surgical modalities were selected in accordance with the different conditions of patients. Key words: colon slow transit constipation; surgical treatment; prognosis