Evaluation In Surgical Treatment Of Colon Slowly Transit Constipation

Objective To observe the results of three kinds of surgical modality (total colectomy, subtotal colectomy and cecorectostomy)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 2008,10 of them undergoing total colectomy, 12 undergoing subtotal colectomy and 13 suffering cecorectostomy. Results After surgery, the symptoms of defecation difficult, stool traits, bearing down, frequency and abdominal distention were improved obviously.The defecation time has been shortened. The total effective rate was 77%.The relapse rate in cecorectostomy was significantly higher than that of the total colectomy(P<0.01). Conclusions Total colectomy , subtotal colectomy 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.