대한대장항문학회

Purpose: The aim of this study was to analyse clinical feature and outcome of<br>patients following total abdominal colectomy and ileorectal anastomosis. Methods : All of<br>8 patients subjected to surgery during 5 year period from May 1995 to December 1999<br>were reviewed using retrospective method. Result : All patients had slow colonic transit<br>and 7 patients (male to female, 1 : 1.6) with a mean age of 54 (range, 27∼70) years.<br>underwent total abdominal colectomy and ileorectal anastomosis and one patient had<br>right hemicolectomy. Major symptoms were abdominal pain and bloating and mean<br>bowel action was 18.5 days, mean suffered time before operation was 26.3 years. Colonic<br>transit study, defecography and rectal manometry were done in all cases. Pelvic floor<br>dysfunction was combined in 5 patients. Median follow up was 2.7 years. There was<br>one mortality case due to postoperative pneumonia and ARDS in a 70 year old patient.<br>Except one mortality case, there was significant success rate, overall 71%. Conclusions :<br>Colectomy with ileorectal anastomosis produces a satisfactory outcome in the majority of<br>patients undergoing surgery for chronic idiodpathic constipation.<br>