Outcome of colectomy for slow transit constipation

Ann Surg. 1999 Nov;230(5):627-38. doi: 10.1097/00000658-199911000-00004.


Objective: To review the outcome data for colectomy performed for patients with slow transit constipation (STC).

Background: The outcome of surgical intervention in patients with STC is unpredictable. This may be a consequence of the lack of effectiveness of such interventions or may reflect heterogeneity within this group of patients.

Methods: The authors reviewed the data of all series in the English language that document the outcome of colectomy in > or = 10 patients in the treatment of STC.

Results: Thirty-two series fulfilled the entry criteria. There was widespread variability in patient satisfaction rates after colectomy (39% to 100%), reflecting large differences in the incidence of postoperative complications and in long-term functional results. Outcome was dependent on several clinical and pathophysiologic findings and on the type of study, the population studied, and the surgical procedure used.

Conclusions: It may be possible to predict outcome on the basis of preoperative clinical and pathophysiologic findings. This review suggests a rationale for the selection of patients for colectomy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Colectomy* / adverse effects
  • Colectomy* / methods
  • Constipation / physiopathology*
  • Constipation / surgery*
  • Gastrointestinal Transit*
  • Humans
  • Outcome Assessment, Health Care
  • Postoperative Complications / epidemiology
  • Preoperative Care
  • Treatment Outcome