title: Surgical outcomes after total colectomy with ileorectal anastomosis in patients with medically intractable slow transit constipation.
abstract: OBJECTIVE
  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%).
  
  
  CONCLUSIONS
  A total colectomy with ileorectal anastomosis might be an effective surgical procedure with acceptable morbidity to treat medically intractable slow transit constipation.
authors: Department of Colon and Rectal Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
authors: Guiyun
authors: G
authors: Sohn
authors: Chang Sik
authors: CS
authors: Yu
authors: Chan Wook
authors: CW
authors: Kim
authors: Jae Young
authors: JY
authors: Kwak
authors: Tae Young
authors: TY
authors: Jang
authors: Kyung Ho
authors: KH
authors: Kim
authors: Song Soo
authors: SS
authors: Yang
authors: Yong Sik
authors: YS
authors: Yoon
authors: Seok-Byung
authors: SB
authors: Lim
authors: Jin Cheon
authors: JC
authors: Kim