Colectomy for slow-transit constipation

Mollen, R. M. H. G.; Kuijpers, Han C.; Claassen, A.T.P.M.

doi:10.1007/bf02234332

Cited by 47 publications

(5 citation statements)

References 15 publications

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“…Moreover, the surgical procedures usually adopted, especially for STC, imply a definitely invasive approach and are burdened with potential, and not inconsiderable, complications while delivering irregular results. It is obvious that careful and precise patient selection is a basic presupposition for the success of this kind of surgery [6, 9]. For the same reason, it is difficult to establish reliable parameters to determine and quantify the success of the above procedures.…”

Section: Discussionmentioning

confidence: 99%

“…Between March 1991 and May 2005, 43 patients underwent SCCA at our institution. Twenty-two patients underwent surgery for STC, and 21 for other types of colic diffuse disease, such as carcinomas (9), polyposis (1), ulcerative colitis (3), Crohn's disease (3), extended diverticular disease (4), and radiation injuries (1). These latter 21 cases were considered a control group.…”

Section: Methodsmentioning

confidence: 99%

“…Several studies [1][2][3][4][5][6][7][8][9][10][11][12][13] have demonstrated the effectiveness of surgical treatment for slow-transit constipation (STC), tested in terms of symptom resolution (bowel frequency), whereas few authors [12] have evaluated the longterm quality of life of STC patients.…”

mentioning

confidence: 99%

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Subtotal Colectomy with Antiperistaltic Cecorectal Anastomosis in the Treatment of Slow‐transit Constipation: Long‐term Impact on Quality of Life

et al. 2007

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Subtotal Colectomy with Antiperistaltic Cecorectal Anastomosis in the Treatment of Slow‐transit Constipation: Long‐term Impact on Quality of Life

et al. 2007

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“…A study on Iranians with constipation, 57.8% had slow total CTT and mean total CTT in patients with functional constipation and IBS-C was 52.2 hours and 41.2 hours, respectively. 25 Mollen et al 26 showed that 71% of patients with functional constipation had abnormal total CTT, however, patients with IBS had normal colon transit. Actually, previous study showed that only 12% of IBS-C had delayed colon transit.…”

Section: Discussionmentioning

confidence: 99%

Relevance of Colonic Gas Analysis and Transit Study in Patients With Chronic Constipation

Park

Lee

et al. 2015

J Neurogastroenterol Motil

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Background/AimsColon transit time (CTT) is a useful diagnostic tool in chronic constipation, but requires good patient compliance. We analyzed the correlation between the gas volume score (GVS) and CTT in patients with chronic constipation. MethodsThe study included 145 consecutive patients (65 men) with chronic constipation. The primary outcome was the correlation between the colon GVS and CTT. Secondary outcomes were the differences in colon GVS according to CTT and subtypes of chronic constipation. ResultsThere were 81 patients with "CTT < 45 hours" and 64 patients with "CTT ≥ 45 hours." In addition, 88 patients were classified as having functional constipation and 57 were classified as having constipation predominant irritable bowel syndrome (IBS-C). There was no significant correlation between CTT and colon GVS. However, the right colon GVS showed a positive correlation with right CTT (r = 0.255, P = 0.007). The median total colon GVS was significantly higher in patients with "CTT ≥ 45 hours" than in those with "CTT ＜ 45 hours" (5.65% vs 4.15%, P = 0.010). There were no significant differences in colon GVS between the functional constipation and IBS-C. ConclusionsWe were unable to detect a correlation between GVS and CTT in patients with chronic constipation. However, total colon GVS may be a method of predicting slow transit in patients with chronic constipation.

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“…Despite this, published material is in accordance with a preference to treatment using TC with IRA and SC with CRA. Effectively, both these types of procedure have revealed optimal results in terms of morbidity, mortality and quality of life, with a success rate of approximately 90% [9,10]. In particular, the TC with IRA procedure is the most commonly used, even though SC with CRA, saving the end ileo, the cecorectal valve and the cecum, seem to guarantee a better absorption of electrolytes, bile salts, B12 vitamin and water [11][12][13].…”

Section: Discussionmentioning

confidence: 99%

Feasibility of the Laparoscopic Total Colectomy with Ileal j-Pouch-Rectal Anastomosis in the Treatment of Chronic Constipation Refractory to Medical Therapy: Observations about a Case Report

Allaria¹,

Napolitano²,

Bondanese³

et al. 2013

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In October 2012, a 29-year-old woman affected by chronic constipation underwent surgery for a laparoscopic total colectomy with ileal j-pouch-rectal anastomosis. After a precise instrumental work-up, the patient was selected as a potential candidate for the surgical treatment after failing to respond to all other medical treatment. During the first three months following the surgery, the patient recorded 3 -4 daily evacuations of soft stool. After the third month, the number of evacuations stabilised at 2 -3 a day, with formed stool, and no mention of incontinence or abdominal pain. Although the laparoscopic total colectomy with ileorectal anastomosis (TC with IRA) and the laparoscopically assisted subtotal colectomy with cecorectal anastomosis (SC with CRA) are the most frequently practiced procedures in the surgical treatment of chronic constipation, the laparoscopic colectomy with ileal j-pouch has shown in our experience to be a feasible and effective procedure, with similar results to the two aforementioned procedures in terms of morbidity, mortality and quality of life. In fact, like the first two, the total colectomy with ileal j-pouch has demonstrated the advantages of laparoscopic surgery: low invasiveness, less post-operative pain or ileus, respect of parietal integrity, reduced hospitalization and, lastly, a better cosmesis.

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Colectomy for slow-transit constipation

Cited by 47 publications

References 15 publications

Subtotal Colectomy with Antiperistaltic Cecorectal Anastomosis in the Treatment of Slow‐transit Constipation: Long‐term Impact on Quality of Life

Subtotal Colectomy with Antiperistaltic Cecorectal Anastomosis in the Treatment of Slow‐transit Constipation: Long‐term Impact on Quality of Life

Relevance of Colonic Gas Analysis and Transit Study in Patients With Chronic Constipation

Feasibility of the Laparoscopic Total Colectomy with Ileal j-Pouch-Rectal Anastomosis in the Treatment of Chronic Constipation Refractory to Medical Therapy: Observations about a Case Report

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