Whole Gut Transit is Prolonged after Ripstein Rectopexy

Schultz, Inkeri; Mellgren, Anders; Öberg, Michael; Dolk, Anders; Holmström, Bo

doi:10.1080/110241599750007117

Cited by 21 publications

(8 citation statements)

References 27 publications

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“…In particular, existing preoperative constipation might worsen after the transabdominal intervention [20-22]. Some authors recommend a concomitant resection [23,21,27], which decreases the postoperative constipation rate by about 50% [28], but unfortunately increases the mortality rate to 10-15% because of the potential insufficiency of the anastomosis.…”

Section: Discussionmentioning

confidence: 99%

Functional outcome after perineal stapled prolapse resection for external rectal prolapse

et al. 2010

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BackgroundA new surgical technique, the Perineal Stapled Prolapse resection (PSP) for external rectal prolapse was introduced in a feasibility study in 2008. This study now presents the first results of a larger patient group with functional outcome in a mid-term follow-up.MethodsFrom December 2007 to April 2009 PSP was performed by the same surgeon team on patients with external rectal prolapse. The prolapse was completely pulled out and then axially cut open with a linear stapler at three and nine o'clock in lithotomy position. Finally, the prolapse was resected stepwise with the curved Contour® Transtar™ stapler at the prolapse's uptake. Perioperative morbidity and functional outcome were prospectively measured by appropriate scores.Results32 patients participated in the study; median age was 80 years (range 26-93). No intraoperative complications and 6.3% minor postoperative complications occurred. Median operation time was 30 minutes (15-65), hospital stay 5 days (2-19). Functional outcome data were available in 31 of the patients after a median follow-up of 6 months (4-22). Preoperative severe faecal incontinence disappeared postoperatively in 90% of patients with a reduction of the median Wexner score from 16 (4-20) to 1 (0-14) (P < 0.0001). No new incidence of constipation was reported.ConclusionsThe PSP is an elegant, fast and safe procedure, with good functional results.Trial registrationISRCTN68491191

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Section: Discussionmentioning

confidence: 99%

Functional outcome after perineal stapled prolapse resection for external rectal prolapse

et al. 2010

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“…It is thought that the descending bowel into the rectum may cause a mechanical blockage that is worsened with persistent straining, pelvic floor muscle incoordination and colonic dysmotility [16,17]. Associated symptoms of rectal prolapse can be particularly worrisome as they include reducible protruding mass with bowel movements, mucous discharge, feeling of incomplete evacuation, rectal bleeding, change in bowel habits and fecal and/or urinary incontinence [11].…”

Section: Discussionmentioning

confidence: 99%

Rectal prolapse associated with anorexia nervosa: a case report and review of the literature

Mitchell

Norris

2013

J Eat Disord

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Anorexia nervosa is one of a few mental health diagnoses that affects every organ system. Patients with AN often present with multiple secondary effects of starvation at the time of first assessment, including gastrointestinal (GI) complaints. In extreme cases, severe GI complications such as rectal prolapse may be encountered as a consequence of the illness although formal studies investigating the frequency of such occurrences are lacking. We present the case of a 16 year old female previously diagnosed with anorexia nervosa that developed a rectal prolapse as a consequence of her disease as well as a detailed literature review investigating the frequency and prevalence of such occurrences in this population.

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“…However, this problem was negligible since biased and unbiased patients had comparable initial scores. Constipation remained unchanged [6] or became worse after mesh [1, 8, 11] or suture [4] rectopexy without sigmoid resection for IRI. We think that the improvement in constipation in the present series may, at least partly, be because of sigmoid resection [12, 13], preservation of the lateral ligaments [26], and rectopexy with suture instead of mesh [30].…”

Section: Discussionmentioning

confidence: 99%

“…A minority of patients with demonstrable IRI and other findings at defecography may present without symptoms of defecatory disorder [2, 3]. Prevalent symptoms in afflicted patients are constipation including incomplete rectal evacuation of stool, pain, and fecal incontinence [1, 4–8]. …”

Section: Introductionmentioning

confidence: 99%

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Long-Term Outcome after Resection Rectopexy for Internal Rectal Intussusception

Johnson

Kjellevold

Johannessen

et al. 2012

ISRN Gastroenterology

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Background and Aims. The optimal treatment of patients with internal rectal intussusception (IRI) is unresolved. The aim was to study the short- and long-term outcome of resection rectopexy in these patients. Methods. An observational and mainly prospective study of 48 patients (44 women) with IRI who had ligament-preserving suture rectopexy by laparoscopic (n = 25) or open (n = 23) technique. Outcome measures were morbidity, scores for constipation and anal incontinence, patients' report, and health-related quality of life (HRQoL). Results. From preoperatively to a median of 6 months and 76 months postoperatively, constipation scores were reduced from a mean of (95% CI) 13.20 (11.41 to 15.00) to 6.91 (5.29 to 8.54) and 6.35 (4.94 to 7.76) (P < 0.0001). The number of constipated patients was reduced from 35 to eleven and eight, respectively, and none became constipated. Nine of ten symptoms of constipation improved. Corresponding scores for anal incontinence were 4.7 (2.4–7.0), 4.0 (2.4–5.7), and 4.1 (2.3–5.8), respectively. HRQoL at long-term followup compared to the general Norwegian population was reduced in four out of eight dimensions concerning physical factors. The patient-reported outcome at short- and long-term followup was improved by 85.4% and 75.0%, respectively. Conclusions. Resection rectopexy for IRI improved the outcome. HRQoL was reduced compared with the general population.

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Whole Gut Transit is Prolonged after Ripstein Rectopexy

Abstract: Whole gut transit was prolonged after Ripstein rectopexy. Preoperative retention of markers indicated an increased risk of postoperative constipation.

Cited by 21 publications

References 27 publications

Functional outcome after perineal stapled prolapse resection for external rectal prolapse

Functional outcome after perineal stapled prolapse resection for external rectal prolapse

Rectal prolapse associated with anorexia nervosa: a case report and review of the literature

Long-Term Outcome after Resection Rectopexy for Internal Rectal Intussusception

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