Clinical and morphologic correlation after stapled transanal rectal resection for obstructed defecation syndrome.

Details

Serval ID
serval:BIB_AB74B3F9A5CE
Type
Article: article from journal or magazin.
Collection
Publications
Title
Clinical and morphologic correlation after stapled transanal rectal resection for obstructed defecation syndrome.
Journal
Diseases of the Colon and Rectum
Author(s)
Dindo D., Weishaupt D., Lehmann K., Hetzer F.H., Clavien P.A., Hahnloser D.
ISSN
1530-0358 (Electronic)
ISSN-L
0012-3706
Publication state
Published
Issued date
2008
Volume
51
Number
12
Pages
1768-1774
Language
english
Notes
Publication types: Clinical Trial ; Journal ArticlePublication Status: ppublish
Abstract
PURPOSE: The clinical and morphologic outcome of patients with obstructed defecation syndrome after stapled transanal rectal resection was prospectively evaluated.
METHODS: Twenty-four consecutive patients (22 women; median age, 61 (range, 36-74) years) who suffered from obstructed defecation syndrome and with rectal redundancy on magnetic resonance defecography were enrolled in the study. Constipation was assessed by using the Cleveland Constipation Score. Morphologic changes were determined by using closed-configuration magnetic resonance defecography before and after stapled transanal rectal resection.
RESULTS: After a median follow-up of 18 (range, 6-36) months, Cleveland Constipation Score significantly decreased from 11 (range, 1-23) preoperatively to 5 (range, 1-15) postoperatively (P = 0.02). In 15 of 20 patients, preexisting intussusception was no longer visible in the magnetic resonance defecography. Anterior rectoceles were significantly reduced in depth, from 30 mm to 23 mm (P = 0.01), whereas the number of detectable rectoceles did not significantly change. Complications occurred in 6 of the 24 patients; however, only two were severe (1 bleeding and 1 persisting pain requiring reintervention).
CONCLUSIONS: Clinical improvement of obstructed defecation syndrome after stapled transanal rectal resection correlates well with morphologic correction of the rectal redundancy, whereas correction of intussusception seems to be of particular importance in patients with obstructed defecation syndrome.
Keywords
Adult, Aged, Anal Canal/surgery, Defecation, Defecography, Female, Follow-Up Studies, Humans, Intestinal Obstruction/pathology, Intestinal Obstruction/physiopathology, Magnetic Resonance Imaging, Male, Middle Aged, Prospective Studies, Rectal Diseases/pathology, Rectal Diseases/physiopathology, Surgical Stapling, Syndrome, Treatment Outcome
Pubmed
Web of science
Create date
07/10/2014 15:22
Last modification date
20/08/2019 16:15
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