[Long-term results of subtotal colectomy with antiperistaltic cecoproctostomy in chronic slow-transit constipation].
OBJECTIVE
To assess the long-term results after subtotal colectomy with antiperistaltic cecoproctostomy in idiopathic chronic slow-transit constipation.


METHODS
Between January 2003 and February 2004, 14 patients with chronic slow-transit constipation and 2 patients with mixed constipation underwent subtotal colectomy with antiperistaltic cecoproctostomy. The following information was collected during follow-up (mean 3 years): number of bowel movement, stool consistency, complications, quality of life and degree of satisfaction.


RESULTS
There was no mortality or major postoperative complications. One month after the operation, bowel frequency was a mean of 4 daily, with a semi-liquid stool consistency. After 3 years, bowel frequency was a mean of 2 daily, with a semi-solid stool consistency. Although no patient used antidiarrheal medicine, laxatives continued to be used by one case with mixed chronic constipation. All patients reported a good or improved quality of life and satisfied with the results. Two patients developed adhesive ileus post operation. There was no diarrhea or incontinence occurred during the follow-up.


CONCLUSIONS
Subtotal colectomy with end-to-end antiperistaltic cecoproctostomy for appropriately selected patients with slow-transit constipation results in consistent relief of constipation and satisfactory outcome.
Jiang
Cong-Qing
CQ
Department of Colorectal Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071, China. chqjiang@hotmail.com
Qian
Qun
Q
Ai
Zhong-Li
ZL
He
Yue-Ming
YM
Liu
Zhi-Su
ZS
Hu
Jin-Xiang
JX
Zheng
Ke-Yan
KY
Wu
Yun-Hua
YH
D000328:Adult; D002432:Cecum / Q000601:surgery; D003082:Colectomy / Q000379:methods*; D003248:Constipation / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005763:Gastroenterostomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012007:Rectum / Q000601:surgery; D016896:Treatment Outcome