| Stapled transanal rectal resection for obstructed defecation syndrome associated with rectocele and rectal intussusception. | |
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MedLine Citation:
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PMID: 20503455 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Bin Zhang; Jian-Hua Ding; Shu-Hui Yin; Meng Zhang; Ke Zhao |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: World journal of gastroenterology : WJG Volume: 16 ISSN: 1007-9327 ISO Abbreviation: World J. Gastroenterol. Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-05-26 Completed Date: 2010-08-31 Revised Date: 2010-09-28 |
Medline Journal Info:
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Nlm Unique ID: 100883448 Medline TA: World J Gastroenterol Country: China |
Other Details:
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Languages: eng Pagination: 2542-8 Citation Subset: IM |
Affiliation:
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Department of Colon-Rectal Surgery, The Second Artillary General Hospital, Xinjiekouwai Road 168, Xicheng District, Beijing 100088, China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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 | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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