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

Détails

Ressource 1Télécharger: Clinical_and_Morphologic_Correlation_after_Stapled.4.pdf (176.52 [Ko])
Etat: Public
Version: Final published version
Licence: Non spécifiée
ID Serval
serval:BIB_AB74B3F9A5CE
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Clinical and morphologic correlation after stapled transanal rectal resection for obstructed defecation syndrome.
Périodique
Diseases of the Colon and Rectum
Auteur⸱e⸱s
Dindo D., Weishaupt D., Lehmann K., Hetzer F.H., Clavien P.A., Hahnloser D.
ISSN
1530-0358 (Electronic)
ISSN-L
0012-3706
Statut éditorial
Publié
Date de publication
2008
Peer-reviewed
Oui
Volume
51
Numéro
12
Pages
1768-1774
Langue
anglais
Notes
Publication types: Clinical Trial ; Journal ArticlePublication Status: ppublish
Résumé
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.
Mots-clé
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
Open Access
Oui
Création de la notice
07/10/2014 15:22
Dernière modification de la notice
26/01/2022 23:17
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