STAGED PARTIAL COLECTOMY AS AN ALTERNATIVE TO TOTAL COLECTOMY IN CHRONIC COLOSTASIS

Abstract

Chronic colostasis, commonly associated with severe slow-transit constipation (STC), often requires surgical treatment when medical therapy fails. Total colectomy has traditionally been considered the definitive procedure; however, long-term morbidity and variable postoperative function have prompted interest in function-preserving options. This study reviews evidence on staged partial colectomy, evaluating its effectiveness, physiologic rationale, and long-term outcomes. Data from multiple cohorts demonstrate that partial colectomy can improve bowel frequency, reduce laxative dependence, and preserve quality of life in carefully selected patients, with reported success rates ranging from 34% to 70% [4];[9]. Nevertheless, strict preoperative assessment is essential to identify patients with segmental colonic inertia. Staged partial colectomy may therefore represent a viable alternative to total colectomy for selected individuals with chronic colostasis.