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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 World+J+Gastroenterol
2015 ; 21
(33
): 9736-40
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Comparison of two types of colectomy in treating slow transit constipation with
or without melanosis coli
#MMPMID26361420
Sun JW
; Gu JN
; Du P
; Chen W
World J Gastroenterol
2015[Sep]; 21
(33
): 9736-40
PMID26361420
show ga
AIM: To compare the follow-up outcomes of ileosigmoidal anastomosis (ISA) and
caecorectal anastomosis (CRA) in patients with slow transit constipation (STC)
with or without melanosis coli (MC). METHODS: We collected the clinical data of
48 STC patients with or without MC from May 2002 to May 2007. Twenty-six patients
underwent CRA (14 with MC) and 22 cases received ISA (14 with MC). A 3-year
postoperative follow-up was conducted. RESULTS: CRA improved the quality of life
[evaluated by the gastrointestinal quality of life index (GIQLI)] in patients
without MC, but was inferior to ISA in stool frequency and Wexner and GIQLI
scores for MC patients. In the CRA group, patients with MC suffered worse
outcomes than those without MC. CONCLUSION: CRA is more suitable for STC patients
without MC; however, for STC patients with MC, ISA is a better choice.