Surgical outcomes of subtotal colectomy with antiperistaltic caecorectal anastomosis vs total colectomy with ileorectal anastomosis for intractable slow-transit constipation
Autor: | Yun-hua Wu, Qun Qian, Xiaoyu Xie, Xueqiao Yu, Weicheng Liu, Baoxiang Chen, Yan Zhou, Kongliang Sun, Wenhao Chen, Zhao Ding, Congqing Jiang |
---|---|
Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Constipation ileorectal anastomosis business.industry medicine.medical_treatment Incidence (epidemiology) Gastroenterology Original Articles Anastomosis colectomy slow-transit constipation antiperistaltic caecorectal anastomosis Surgery 03 medical and health sciences 0302 clinical medicine Quality of life Refractory Ileorectal anastomosis 030220 oncology & carcinogenesis medicine Defecation 030211 gastroenterology & hepatology medicine.symptom business Colectomy |
Zdroj: | Gastroenterology Report |
ISSN: | 2052-0034 |
Popis: | Background Few studies have compared the surgical outcomes of different surgical procedures currently used to treat refractory colonic slow-transit constipation (STC), despite the increase in the number of cases. This study aimed to analyse the long-term surgical outcomes of subtotal colectomy with antiperistaltic caecorectal anastomosis (SC-ACRA) vs total colectomy with ileorectal anastomosis (TC-IRA) for severe STC. Methods Between January 2005 and January 2015, we retrospectively collected clinical data of 55 patients who underwent TC-IRA (n = 35) or SC-ACRA (n = 20) for severe STC at our institution. The post-operative functional outcomes between the two groups were compared. Results There were no significant differences in age (P = 0.655), sex (P = 0.234), period of constipation (P = 0.105) and defecation frequency (P = 0.698) between the TC-IRA and SC-ACRA groups. During a median follow-up period of 72 months (range, 12–120 months), there were no significant differences between the TC-IRA and SC-ACRA groups regarding the median number of bowel movements per day [3 (1/6–7) vs 3 (1/6–5), P = 0.578], Cleveland Clinic Florida Constipation Score [2 (0–20) vs 2 (0–19), P = 0.454], Cleveland Clinic Incontinence Score [0 (0–5) vs 0 (0–2), P = 0.333] and Gastrointestinal Quality of Life Index [122 (81–132) vs 120 (80–132), P = 0.661]. Moreover, there was no significant difference in the incidence of post-operative complications between the two groups (37.1% vs 25.0%, P = 0.285). Conclusions Our findings indicate that both TC-IRA and SC-ACRA are effective treatments for severe STC, with similar long-term outcomes. |
Databáze: | OpenAIRE |
Externí odkaz: |