Colon Resection: Risks, Costs, and Long-Term Effects

Colon resection issues and costs?

Hello, doctor.
I have a problem with constipation.
If I don't take laxatives, I can't have a bowel movement, and I find myself needing to take more and more laxatives, eventually taking over 30 pills at a time.
When I visited the hospital, the doctor advised me to take 4 to 5 pills daily, which helps me have regular bowel movements.
I would like to ask, since I have been taking laxatives daily for over a year, does this increase my risk of developing colorectal cancer? The doctor also suggested that I consider a total colectomy.
If I undergo this surgery, will I really not experience constipation anymore? Additionally, if I have a laparoscopic surgery to remove my colon, what would be the approximate total cost of the procedure? Thank you very much for your assistance.

Lin En, 20~29 year old female. Ask Date: 2019/03/18

Dr. Chen Qifeng reply Gastroenterology and Hepatology

In general, for constipation issues, it is still recommended to combine medication with adjustments in lifestyle and dietary habits.

Reply Date: 2019/03/18

More Info

Understanding colon resection, particularly in the context of chronic constipation and the use of laxatives, is crucial for patients considering this option. Chronic constipation can lead to a reliance on laxatives, which, while effective in the short term, may have long-term implications for bowel health.
When it comes to the risks associated with long-term laxative use, there are several factors to consider. Over time, the bowel can become less responsive to laxatives, leading to a cycle of increasing dosage, as you've experienced. This can result in a condition known as "laxative dependency," where the bowel loses its natural ability to function without the aid of these medications. In some cases, chronic constipation can lead to complications such as fecal impaction, bowel obstruction, or even diverticulitis, which is an inflammation of the diverticula in the colon.

Regarding your concern about the risk of colorectal cancer, while chronic constipation itself is not directly linked to an increased risk of cancer, the underlying causes of your constipation may be. Conditions such as inflammatory bowel disease (IBD) or a history of polyps can increase cancer risk. Therefore, it's essential to have regular screenings and discussions with your healthcare provider about your bowel health.

As for the recommendation of a total colectomy (removal of the entire colon), this is typically considered when other treatments have failed, and the patient experiences severe symptoms that significantly impact their quality of life. After a colectomy, many patients report an improvement in bowel habits, as the colon is no longer present to contribute to constipation. However, it's important to note that some patients may experience changes in bowel function post-surgery, including diarrhea or urgency, as the body adjusts to the absence of the colon.

The costs associated with laparoscopic colon resection can vary widely depending on several factors, including the healthcare facility, geographic location, and whether the procedure is performed in an outpatient or inpatient setting. On average, the total cost for a laparoscopic colectomy can range from $15,000 to $30,000 or more, which includes pre-operative evaluations, the surgery itself, and post-operative care. It's advisable to check with your insurance provider to understand what portion of the costs will be covered and to discuss payment options with your healthcare provider.

In conclusion, while long-term laxative use can lead to complications, a total colectomy may provide relief from chronic constipation. However, it is essential to weigh the risks and benefits with your healthcare provider, who can help you make an informed decision based on your specific medical history and current health status. Regular follow-ups and screenings are crucial to monitor your bowel health, whether you choose to continue with laxatives or consider surgical options.

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