Document Detail


Stapled transanal rectal resection for obstructed defecation syndrome associated with rectocele and rectal intussusception.
MedLine Citation:
PMID:  20503455     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To evaluate the safety and efficacy of stapled transanal rectal resection (STARR), and to analyze the outcome of the patients 12-mo after the operation. METHODS: From May 2007 to October 2008, 50 female patients with rectocele and/or rectal intussusception underwent STARR. The preoperative status, perioperative and postoperative complications at baseline, 3, 6 and 12-mo were assessed. Data were collected prospectively from standardized questionnaires for the assessment of constipation [constipation scoring system, Longo's obstructed defecation syndrome (ODS) score system, symptom severity score], patient satisfaction (visual analogue scale), and quality of life (Patient Assessment of Constipation-Quality of Life Questionnaire). RESULTS: At a 12-mo follow-up, significant improvement in the constipation scoring system, ODS score system, symptom severity score, visual analog scale and quality of life (P < 0.0001) was observed. The symptoms of constipation improved in 90% of patients at 12 mo after surgery. The self-reported definitive outcome was excellent in 15 (30%) patients, fairly good in 8 (16%), good in 22 (44%), and poor in 5 (10%). CONCLUSION: STARR can be performed safely without major morbidity. Moreover, the procedure seems to be effective for patients with obstructed defecation associated with symptomatic rectocele and rectal intussusception.
Authors:
Bin Zhang; Jian-Hua Ding; Shu-Hui Yin; Meng Zhang; Ke Zhao
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  16     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-26     Completed Date:  2010-08-31     Revised Date:  2010-09-28    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  2542-8     Citation Subset:  IM    
Affiliation:
Department of Colon-Rectal Surgery, The Second Artillary General Hospital, Xinjiekouwai Road 168, Xicheng District, Beijing 100088, China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Constipation* / etiology,  surgery
Digestive System Surgical Procedures* / instrumentation,  methods
Female
Humans
Intussusception / complications*,  pathology
Middle Aged
Postoperative Complications
Quality of Life
Rectocele / complications*,  pathology
Rectum* / pathology,  surgery
Surgical Stapling / methods*
Syndrome
Comments/Corrections

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