Comparative Efficacy of Subtotal Versus Total Colectomy for Slow-Transit Constipation: Insights from the STOPS Randomized Clinical Trial

Subtotal colectomy with cecorectal anastomosis (SC-CRA) is noninferior to total colectomy with ileorectal anastomosis (TC-IRA) regarding constipation severity at 1 year in slow-transit constipation (STC) patients.
SC-CRA shows significantly lower rates of early postoperative fecal incontinence compared to TC-IRA at 3 months post-surgery.
No significant difference in perioperative morbidity nor quality of life was observed between the two surgical approaches.
Patient satisfaction slightly favors TC-IRA at one year, underscoring nuanced considerations in surgical decision-making.

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