Factors Related to Postoperative Chronic Diarrhea in Patients with Slow Transit Constipation

蠕動緩慢型便秘手術治療後慢性腹瀉相關因子探討

曾文科(Wen-Ko Tseng) ； 范仲維(Chung-Wei Fan) ； 王正儀(Jen-Yi Wang) ； 張簡俊榮(Chung-Rong ChangChien) ； 陳進勛(Jinn-Shiun Chen) ； 唐瑞平(Re-Ping Tang) ； 江支銘(Jy-Ming Chiang) ； 謝寶秀(Pao-Shiu Hsieh) ； 葉建裕(Chien-Yuh Yeh)

《中華民國大腸直腸外科醫學會雜誌》 22卷4期 (2011/12) Pp. 122-127

https://doi.org/10.6312/SCRSTW.2011.22(4).10013

摘要

目的　蠕動緩慢型便秘的治療方式是以手術為主，然而手術之後併發症並不少見，本文主要探討對手術治療蠕動緩慢型便秘後引發慢性腹瀉之相關因素。方法　藉由病歷審閱方式回顧1994年1月到2004年12月間，蠕動緩慢型便秘藉由手術方式治療之病患，總共有78位病患進入本次研究。結果男性病患與女性病患比例為13比65，病患平均年紀為40.8歲（介於17到78歲）。這78位病患中，有22位病患合併有骨盆腔底部異常（佔28.2%），手術後每日排便次數介於一次到十二次之間，發生慢性腹瀉的比例為15.3%。發生手術後慢性腹瀉的影響因子為男性性別之病患以及年齡高逾五十歲之病患，有較高的慢性腹瀉發生率。結論　手術後發生慢性腹瀉的情況可以在術前被評估，本次研究可提供臨床醫師運用在評估病患接受手術治療蠕動緩慢型便秘時，可能發生之手術後併發症。

關鍵字

蠕動緩慢型便秘 ； 大腸全切除 ； 慢性腹瀉

並列摘要

Purpose: Slow transit constipation (STC) is mainly treated by surgical intervention. However, postoperative complications are not uncommon. This study focuses on the factors that may affect postoperative chronic diarrhea.Methods: We reviewed the cases of patients who suffered from STC and underwent surgical intervention from January 1994 to December 2004. A total of 78 patients were enrolled in this study.Results: The male patient to female patient ratio was 13:65. The average age of the patients was 40.8 years (range, 17-78 years). Of the 78 patients, 22 (28.2%) suffered from STC with concomitant pelvic floor dysfunction. The frequency of postoperative bowel movements ranged from once per day to 12 times per day. The incidence of chronic diarrhea was 15.3%. The main factors affecting the incidence of postoperative chronic diarrhea were sex (male patients had a higher incidence) and age (patients older than 50 years had a higher incidence).Conclusion: Postoperative chronic diarrhea can be predicted preoperatively, and the findings of this study can help clinicians educate patients about the possible postoperative complications.

並列關鍵字

Slow transit constipation ； Total colectomy ； Chronic diarrhea