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International Journal of Colorectal Disease

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Open Access 01-06-2019 | Constipation | Original Article

Long-term outcome after segmental colonic resection for slow transit constipation

Authors: Konstantinos E. Tsimogiannis, U. Karlbom, E. Lundin, W. Graf

Published in: International Journal of Colorectal Disease | Issue 6/2019

Abstract

Purpose

Colectomy with ileorectal anastomosis (IRA) is the most common surgical procedure for slow transit constipation (STC). A hemicolectomy has been suggested as an alternative to IRA with good short-term results. However, long-term results are unknown. The aim of this study was to evaluate the long-term results after hemicolectomy as a treatment for STC.

Methods

Fifty patients with STC were selected for right- or left-sided hemicolectomy after evaluation with colonic scintigraphy from 1993 to 2008. Living patients (n = 43) received a bowel function questionnaire and a questionnaire about patient-reported outcome.

Results

After a median follow-up of 19.8 years, 13 patients had undergone rescue surgery (n = 12) or used irrigation (n = 1) and were classified as failures. In all, 30 were evaluable for functional outcome and questionnaire data for 19 patients (due to 11 non-responding) could be analysed. Two reported deterioration after several years and were also classified as failures. Median stool frequency remained increased from 1 per week at baseline to 5 per week at long-term follow-up (p = 0.001). Preoperatively, all patients used laxatives, whereas 12 managed without laxatives at long-term follow-up (p = 0.002). There was some reduction in other constipation symptoms but not statically significant. In the patients’ global assessment, 10 stated a very good result, seven a good result and two a poor result.

Conclusions

Hemicolectomy for STC increases stool frequency and reduces laxative use. Long-term success rate could range between 17/50 (34%) and 35/50 (70%) depending on outcome among non-responders.

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Title: Long-term outcome after segmental colonic resection for slow transit constipation
Authors: Konstantinos E. Tsimogiannis
U. Karlbom
E. Lundin
W. Graf
Publication date: 01-06-2019
Publisher: Springer Berlin Heidelberg
Keywords: Constipation
Colectomy
Colectomy
Constipation
Hemicolectomy
Scintigraphy
Hemicolectomy
Published in: International Journal of Colorectal Disease / Issue 6/2019
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-019-03283-5

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Springer Medicine

Long-term outcome after segmental colonic resection for slow transit constipation

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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