Subtotal colonic bypass plus colostomy with antiperistaltic cecoproctostomy for the treatment of slow transit constipation in an aged population: A retrospective control study

Table 1 Clinical characteristics of patients (mean ± SD)

			Bypass plus colostomy group (n = 14)	Bypass group (n = 15)	P value
Basic information	Sex	M/F	6/8	5/10	0.710
	Age	yr	74.86 ± 3.42	74.73 ± 3.11	0.919
	BMI	kg/m2	20.03 ± 1.09	20.27 ± 1.39	0.612
Preoperative data	WCS	(0-30)	16.86 ± 1.56	16.93 ± 1.16	0.882
	GIQLI	(0-144)	64.00 ± 3.51	63.20 ± 2.40	0.477
	ABS	(0-4)	2.71 ± 0.73	2.40 ± 0.63	0.224
	NRS	(0-10)	3.00 ± 1.04	2.87 ± 1.30	0.764
Operative and postoperative data	Operative time	min	42.67 ± 3.35	36.86 ± 4.06	< 0.001
	Blood loss	mL	14.43 ± 3.11	11.13 ± 2.95	0.007
	First flatus time	d	1.86 ± 1.03	2.20 ± 0.78	0.317
	Hospital stay	d	14.00 ± 1.66	13.67 ± 2.13	0.644
	Morbidity (Dindo > I)	n (%)	1 (7.14)	1 (6.67)	0.960

BMI: Body mass index; WCS: Wexner constipation scale; GIQLI: Gastrointestinal quality of life index; ABS: Abdominal bloating score; NRS: Numerical rating scale.

Table 2 Preoperative and postoperative functional recovery results (mean ± SD)

	Bypass plus colostomy group (n = 14)				Bypass group (n = 15)
	Preoperative	Postoperative		P value	Preoperative	Postoperative		P value
WCS	16.86 ± 1.56	3 mo	2.71 ± 2.30	< 0.001	16.93 ± 1.16	3 mo	4.33 ± 3.83	< 0.001
		6 mo	2.64 ± 2.50	< 0.001		6 mo	5.07 ± 4.06	< 0.001
		12 mo	2.36 ± 2.13	< 0.001		12 mo	6.40 ± 5.16	< 0.001
		24 mo	1.86 ± 1.46	< 0.001		24 mo	6.60 ± 5.42	< 0.001
GIQLI	64.00 ± 3.51	3 mo	106.57 ± 5.79	< 0.001	63.20 ± 2.40	3 mo	88.27 ± 12.26	< 0.001
		6 mo	114.50 ± 7.59	< 0.001		6 mo	95.13 ± 14.87	< 0.001
		12 mo	119.79 ± 8.24	< 0.001		12 mo	97.60 ± 18.38	< 0.001
		24 mo	122.21 ± 6.85	< 0.001		24 mo	98.47 ± 18.09	< 0.001
ABS	2.71 ± 0.73	3 mo	1.29 ± 0.83	< 0.001	2.40 ± 0.63	3 mo	1.53 ± 0.83	0.003
		6 mo	0.86 ± 0.77	< 0.001		6 mo	1.67 ± 0.82	0.003
		12 mo	0.86 ± 0.66	< 0.001		12 mo	2.07 ± 0.88	0.207
		24 mo	0.79 ± 0.70	< 0.001		24 mo	2.27 ± 1.16	0.670
NRS	3.00 ± 1.04	3 mo	2.50 ± 1.29	0.187	2.87 ± 1.30	3 mo	3.27 ± 1.34	0.320
		6 mo	2.21 ± 1.47	0.094		6 mo	3.53 ± 2.00	0.126
		12 mo	1.14 ± 0.86	< 0.001		12 mo	3.93 ± 2.92	0.123
		24 mo	1.07 ± 0.62	< 0.001		24 mo	4.07 ± 3.04	0.105

WCS: Wexner constipation scale; GIQLI: Gastrointestinal quality of life index; ABS: Abdominal bloating score; NRS: Numerical rating scale.

Table 3 Postoperative functional recovery comparison between the two groups (mean ± SD)

	Time (postoperative)	Bypass plus colostomy group (n = 14)	Bypass group (n = 15)	P value
Barium emptying times	12 mo	22.71 ± 4.41	113.60 ± 110.53	0.007
BMs	3 mo	4.07 ± 1.90	5.60 ± 1.24	0.016
	6 mo	3.21 ± 0.89	4.20 ± 1.47	0.038
	12 mo	2.43 ± 0.85	3.60 ± 1.35	0.010
WIS	3 mo	4.14 ± 1.41	5.60 ± 1.60	0.015
	6 mo	1.86 ± 1.29	3.87 ± 1.55	0.001
	12 mo	1.36 ± 0.63	3.53 ± 2.00	0.001
WCS	3 mo	2.71 ± 2.30	4.33 ± 3.83	0.183
	6 mo	2.64 ± 2.50	5.07 ± 4.06	0.063
	12 mo	2.36 ± 2.13	6.40 ± 5.16	0.012
	24 mo	1.86 ± 1.46	6.60 ± 5.42	0.005
GIQLI	3 mo	106.57 ± 5.79	88.27 ± 12.26	< 0.001
	6 mo	114.50 ± 7.59	95.13 ± 14.87	< 0.001
	12 mo	119.79 ± 8.24	97.60 ± 18.38	< 0.001
	24 mo	122.21 ± 6.85	98.47 ± 18.09	< 0.001
ABS	3 mo	1.29 ± 0.83	1.53 ± 0.83	0.429
	6 mo	0.86 ± 0.77	1.67 ± 0.82	0.011
	12 mo	0.86 ± 0.66	2.07 ± 0.88	< 0.001
	24 mo	0.79 ± 0.70	2.27 ± 1.16	< 0.001
NRS	3 mo	2.50 ± 1.29	3.27 ± 1.34	0.127
	6 mo	2.21 ± 1.47	3.53 ± 2.00	0.054
	12 mo	1.14 ± 0.86	3.93 ± 2.92	0.003
	24 mo	1.07 ± 0.62	4.07 ± 3.04	0.002

BMs: Bowel movements; WIS: Wexner fecal incontinence scale; WCS: Wexner constipation scale; GIQLI: Gastrointestinal quality of life index; ABS: Abdominal bloating score; NRS: Numerical rating scale.