title: [Subtotal colectomy with cecorectal end-side anastomosis in the treatment of slow transit constipation].
abstract: OBJECTIVE
  To study the feasibility of subtotal colectomy with cecorectal end-side anastomosis for slow transit constipation.
  
  
  METHODS
  Retrospective analysis was performed on 23 patients with colon slow transit constipation treated by subtotal colectomy with cecorectal end-side anastomosis in our department from March 2006 to April 2013. The main measure outcome was the curative effect on constipation by this type of surgery.
  
  
  RESULTS
  Twenty-three patients were successfully treated. Anastomotic leakage occurred in one case, and urinary retention in 1 case, while no anastomotic stricture, abdominal bleeding, abdominal hernia, incontinence and other complications occurred. During follow-up of 2 months to 7 years, defecation frequency was 1-4 times a day with no need of antidiarrheal agents. Each time of defecation was less than 5 min. All the patients had no recurrence of constipation.
  
  
  CONCLUSIONS
  Subtotal colectomy with cecorectal end-side anastomosis can be used to treat colon slow transit constipation, while accurate preoperative evaluation and strict indications for the surgery is the key to success.
authors: Department of Anorectal Surgery, General Hospital of Lanzhou Military Area Command of Chinese PLA, Lanzhou 730050, China. gaof678@sohu.com.
authors: Feng
authors: F
authors: Gao
authors: Ming
authors: M
authors: Xu
authors: Weiqiang
authors: W
authors: Wu
authors: Zengqiang
authors: Z
authors: Yang
authors: Xin
authors: X
authors: Zhang
mesh_terms: D000714:Anastomosis, Surgical; D002432:Cecum / Q000601:surgery*; D003082:Colectomy; D003106:Colon / Q000601:surgery*; D003248:Constipation / Q000601:surgery*; D003672:Defecation; D006801:Humans; D012189:Retrospective Studies; D016896:Treatment Outcome