Outcome of colectomy for slow-transit XXXX in relation to presence of small-bowel dysmotility.

@entity1 @entity254 @entity8442 @entity490 @entity158 @entity1142 @entity1319
PURPOSE: A significant proportion of @entity1 with slow-transit @entity1142 have @entity1319 . It is unclear whether @entity1319 indicates worse results after surgery for slow-transit @entity1142 . We studied the results of colectomy with @entity254 in @entity1 with normal and abnormal antroduodenal manometry findings. METHODS: Seventeen, consecutive @entity1 who had been referred for intractable @entity1142 and who were found to suffer from slow-transit @entity1142 underwent subtotal colectomy. All @entity1 underwent a set of diagnostic investigations, including whole gut transit time, anorectal manometry, antroduodenal manometry, electromyography of the anal sphincter, balloon expulsion test, and defecography. @entity1 were followed up after five years. RESULTS: @entity1 ' median age at the time of the operation was 46 (range, 23-70) years, and the median duration of @entity1142 was 31 (range, 11-65) years. One @entity1 died 21 days after the operation. Three @entity1 developed @entity8442 after the operation, and two of these died during the follow-up period. Fourteen @entity1 were available for follow-up after a median of five (range, 4-7) years. Bowel frequency was significantly increased from a median of 0 (range, 0-2) times per week to a median of 30 (range, 10-102) times per week after surgery (P<0.001). The incidence of @entity490 decreased from 94 to 43 percent. Seven of 13 @entity1 (54 percent) continued to have bloating. At long-term follow-up, 12 of 14 @entity1 (86 percent) reported that they had an overall improvement after surgery, despite continuing @entity158 and bloating in a significant proportion of them. The outcome of surgery was good or excellent in seven of seven @entity1 with normal findings on antroduodenal manometry, but only five of nine @entity1 with abnormal manometry findings attained a good result after surgery. We found a trend (P=0.09) toward better long-term results after surgery for slow-transit @entity1142 in @entity1 with a normal antroduodenal manometry before the operation.
