Objective: To compare the efficacy between subtotal colectomy with antiperistaltic cecoproctostomy and total colectomy with ileorectal anastomosis (TAC-IRA) for patients with severe refractory slow transit constipation(STC).
Methods: During 1999 to 2002, TAC-IRA was the preferred procedure for 20 STC patients in our department. From 2003 to 2005, 17 STC patients underwent subtotal colectomy plus antiperistaltic cecoproctostomy. Clinical data of the two groups were collected and compared retrospectively.
Results: There were no significant differences in basic preoperative clinical data between the two groups. During the follow-up period, the time of daily defecation in the antiperistaltic cecoproctostomy group was less than that of TAC-IRA group (2.4+/-0.9 vs 3.4+/-0.8, P=0.0014), meanwhile the Wexner continence score was significantly lower in the antiperistaltic cecoproctostomy group (4.3+/-1.8 vs 5.8+/-1.9, P=0.0223). Barium enema after subtotal colectomy showed that residual ascending colon and cecum presented a sign of "reservoir".
Conclusion: Subtotal colectomy with antiperistaltic cecoproctostomy is a better method for appropriately selected patients with STC than TAC-IRA.
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[Retrospective cohort study on subtotal colonic bypass plus colostomy with antiperistaltic cecoproctostomy in the treatment of senile slow transit constipation].
Zhonghua Wei Chang Wai Ke Za Zhi
April 2019
Institute of Anal-Colorectal Surgery, the 989th Hospital of The Joint Logistics Support Force of Chinese PLA, Luoyang, Henan 471031, China.
Article Synopsis
- The study aimed to evaluate the effectiveness of a surgical procedure called laparoscopic subtotal colonic bypass with colostomy (SCBCAC) for treating slow transit constipation in elderly patients.
- It involved a comparison between 30 patients undergoing SCBCAC and 28 patients undergoing another procedure (SCBAC) over different time frames, focusing on those aged 70 and older who had severe constipation.
- Key criteria for participation included long-standing constipation issues, and patients with certain psychiatric or organic conditions were excluded from the study.
Subtotal colonic bypass plus colostomy with antiperistaltic cecoproctostomy for the treatment of slow transit constipation in an aged population: A retrospective control study.
World J Gastroenterol
June 2018
Institute of Anal-Colorectal Surgery, No. 150 Central Hospital of PLA, Luoyang 471000, Henan Province, China.
Aim: To compare the efficacy, improved quality of life, and prognosis in patients undergoing either subtotal colonic bypass with antiperistaltic cecoproctostomy (SCBAC) or subtotal colonic bypass plus colostomy with antiperistaltic cecoproctostomy (SCBCAC) for the treatment of slow transit constipation.
Methods: Between October 2010 and October 2014, aged patients with slow transit constipation who were hospitalized and underwent laparoscopic surgery in our institute were divided into two groups: the bypass group, 15 patients underwent SCBAC, and the bypass plus colostomy group, 14 patients underwent SCBCAC. The following preoperative and postoperative clinical data were collected: gender, age, body mass index, operative time, first flatus time, length of hospital stay, bowel movements (BMs), Wexner fecal incontinence scale, Wexner constipation scale (WCS), gastrointestinal quality of life index (GIQLI), numerical rating scale for pain intensity (NRS), abdominal bloating score (ABS), and Clavien-Dindo classification of surgical complications (CD) before surgery and at 3, 6, 12, and 24 mo after surgery.
Subtotal colectomy with antiperistaltic cecoproctostomy is an alternative technique for two-stage management of obstructed left colon carcinoma.
Chin Med J (Engl)
December 2010
Department of Colorectal Surgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, China.
[Use of antiperistaltic cecoproctostomy in colorectal reconstruction].
Zhonghua Wei Chang Wai Ke Za Zhi
June 2011
Department of Colorectal Surgery, Zhongnan Hosipital of Wuhan University, Wuhan, China.
Objective: To explore the feasibility and functional outcome of antiperistaltic cecoproctostomy in colorectal reconstruction.
Methods: Fifty-six patients who underwent antiperistaltic cecoproctostomy were retrospectively studied. Indications for antiperistaltic cecoproctostomy included slow transit constipation(n=44), synchronous colon cancer or colonic polyps(n=5), acute obstructing left colon carcinoma(n=4), and adult megacolon(n=3).
[Comparison of subtotal colectomy with antiperistaltic cecoproctostomy and total colectomy with ileoproctostomy in treating slow transit constipation].
Zhonghua Wai Ke Za Zhi
December 2009
Department of Colorectal Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071, China.
Objective: To compare clinical outcome and quality of life of subtotal colectomy with antiperistaltic cecoproctostomy and total colectomy with ileorectal anastomosis (TAC-IRA) in patients with severe slow transit constipation (STC).
Methods: Of the 56 patients enrolled in this study from January 1999 to June 2008, 32 cases underwent subtotal colectomy with antiperistaltic cecoproctostomy, and 20 patients underwent TAC-IRA. The patients' clinical characteristics, operative data, postoperative outcome, functional result and gastrointestinal quality of life index (GIQLI) survey were compared between the two groups.
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