PDF(434 KB)
Recurrent constipation and incontinence after surgery for slowtransit constipation
FENG Yong,CONG Jin-chun,CHEN Chun-sheng,et al.
Chinese Journal of Practical Surgery ›› 2008, Vol. 28 ›› Issue (09) : 763-765.
PDF(434 KB)
PDF(434 KB)
Recurrent constipation and incontinence after surgery for slowtransit constipation
Objective〓〖WTBZ〗To evaluated the recurrent constipation and incontinence for different anal pressure with different operating technique for slow-transit constipation(STC). 〖WTHZ〗Methods〓〖WTBZ〗106 patients with STC received surgery as ileorectal anastomosis(IRA),ileosigmoidal anastomosis (ISA) or cecorectal anastomosis(CSA) from 1996 to 2006 in Shengjing Hospital of China Medical University.The patients were divided into STCONLY group and STC-rectal evacuatory disorder (STCRED) group according to whether involve the rectum,and subsequently the latter were divided into low pressure group,high pressure group and normal pressure group on the basis of vectorial manometry. 〖WTHZ〗Results〓〖WTBZ〗The recurrent constipation and incontinence of STCONLY group was lower than that of STCRED group (P<005),for the latter,with the gradually raising anal pressure the rate of recurrent constipation increased (P<005),however the rate of incontinence decreased (P<005).About the three different techniques, incontinence happened least after the CSA (P<005),but there were more risk of constipation recurrence (P<005). 〖WTHZ〗Conclusion〓〖WTBZ〗For the surgery of STC,the technique of CSA has the merit for preventing the incontinence after operation,but the risk of constipation recurrence is high on the other hand.Compared with the STC-ONLY,the STCRED had high risk for recurrent constipation and incontinence,this result was concerned with anal pressure.
slowtransit constipation / rectal inertia / recurrent constipation / incontinence
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