Clinical Analysis of Total Colectomy for Chronic Idiopathic Constipation.

, Lim, Sae Woung; , Oh, So Hyang; , Lee, Woo Yong

Original Article

Journal of the Korean Society of Coloproctology 2000;16(3):150-155.

Lim, Sae Woung , Oh, So Hyang , Lee, Woo Yong

Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

The aim of this study was to analyse clinical feature and outcome of patients following total abdominal colectomy and ileorectal anastomosis.
METHODS
All of 8 patients subjected to surgery during 5 year period from May 1995 to December 1999 were reviewed using retrospective method.
RESULTS
All patients had slow colonic transit and 7 patients (male to female, 1:1.6) with a mean age of 54 (range, 27~70) years underwent total abdominal colectomy and ileorectal anastomosis and one patient had right hemicolectomy. Major symptoms were abdominal pain and bloating and mean bowel action was 18.5 days, mean suffered time before operation was 26.3 years. Colonic transit study, defecography and rectal manometry were done in all cases. Pelvic floor dysfunction was combined in 5 patients. Median follow up was 2.7 years. There was one mortality case due to postoperative pneumonia and ARDS in a 70 year old patient. Except one mortality case, there was significant success rate, overall 71%.
CONCLUSIONS
Colectomy with ileorectal anastomosis produces a satisfactory outcome in the majority of patients undergoing surgery for chronic idiopathic constipation.

Key Words: Chronic idiopathic constipation; Slow colonic transit; Total colectomy