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Outcome of colectomy for slow transit constipation Knowles CH; Scott M; Lunniss PJAnn Surg 1999[Nov]; 230 (5): 627-38OBJECTIVE: 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.|*Colectomy/adverse effects/methods[MESH]|*Gastrointestinal Transit[MESH]|Constipation/*physiopathology/*surgery[MESH]|Humans[MESH]|Outcome Assessment, Health Care[MESH]|Postoperative Complications/epidemiology[MESH]|Preoperative Care[MESH]|Treatment Outcome[MESH] |
