TITLE

ABDOMINAL SUTURE RECTOPEXY WITHOUT LARGE BOWEL RESECTION FOR RECTAL PROLAPSE DOES NOT RESULT IN CONSTIPATION; DATA FROM PROSPECTIVE BOWEL FUNCTION EVALUATION, ANORECTAL PHYSIOLOGY, AND TRANSIT STUDIES

AUTHOR(S)
Sabaratnam, V.Y.; Rathnayake, G.; Deen, K.I.
PUB. DATE
April 2003
SOURCE
Gut;Apr2003 Supplement 1, Vol. 52, pA97
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Introduction: Traditionally, suture rectopexy has been combined with sigmoid resection for rectal prolapse to prevent postoperative constipation. Furthermore, preservation of lateral ligaments will not result in constipation. Suture rectopexy alone without resection is being popularised. No studies have shown the influence of suture rectopexy without resection on colonic transit, and postoperative constipation. Patients and Methods: Forty-six patients (median (range) age 32 (19-82) years) with rectal prolapse underwent suture rectopexy alone without division of lateral ligaments from March 1999. Prospectively, bowel function and anorectal physiology (ARP) were evaluated before and after surgery in a subset of 15 patients. Follow up (median, range) has been 12 (1-42) months. Results: Follow up was complete in 36 patients. Recurrent prolapse was seen in 5 (full thickness 3 (8.3%); mucosal prolapse 2 (5.5%)). Physiological data in a subset of 15 patients revealed no significant difference in anorectal physiology before and 3 months after the operation (see Table). Similarly there was no significant difference in the rate of evacuation of transit markers on day 3 and 5 (see Table). Conclusion: Abdominal suture rectopexy without resection for rectal prolapse improves constipation symptoms, and does not result in significant change in colonic transit. We recommend this procedure either by open operation or by laparoscopy.
ACCESSION #
9747940

 

Related Articles

  • RECTAL PROLAPSE AND ASSOCIATED CONDITIONS. Andrews, N.J.; Jones, D.J. // BMJ: British Medical Journal (International Edition);7/25/92, Vol. 305 Issue 6847, p243 

    Examines the prolapse of the rectum that causes discomfort during bowel action in Great Britain. Types of rectal prolapse; Occurrence of mucosal prolapse on adults with large hemorrhoids; History of constipation.

  • Role of pelvicography and colpocystodefecography in diagnosis of outlet obstructive constipation. Bao-Hua Liu; Shi-Wen Fang; Wei-Dong Tong; Shui-Gen Gong; Sheng-Ben Zhang // International Journal of Colorectal Disease;Jul2005, Vol. 20 Issue 4, p317 

    Aims: The aim was to research the changes in pelvic floor morphology and corresponding visceras in patients with outlet obstructive constipation (OOC). Patients and methods: Thirty-eight patients with OOC and 12 healthy volunteers were enrolled in this study. With simultaneous pelvicography and...

  • Multiple Rectal Polyps in a Young Woman with Constipation. Triadafilopoulos, George; Lombard, Charles M. // Digestive Diseases & Sciences;Apr2010, Vol. 55 Issue 4, p890 

    The article presents a case study of a 27-year-old Asian-American woman who suffered from constipation, rectal bleeding and abdominal pain. A colonoscopy showed inflammatory polyps in the rectal vault, and biopsy revealed polypoid hyperplastic mucosa with ulceration. Although treatment with...

  • Rectal Prolapse: An Overview of Clinical Features, Diagnosis, and Patient-Specific Management Strategies. Bordeianou, Liliana; Hicks, Caitlin; Kaiser, Andreas; Alavi, Karim; Sudan, Ranjan; Wise, Paul // Journal of Gastrointestinal Surgery;May2014, Vol. 18 Issue 5, p1059 

    Rectal prolapse can present in a variety of forms and is associated with a range of symptoms including pain, incomplete evacuation, bloody and/or mucous rectal discharge, and fecal incontinence or constipation. Complete external rectal prolapse is characterized by a circumferential,...

  • INITIAL EXPERIENCE WITH STAPLED HAEMORRHOIDECTOMY FOR TREATMENT OF SYMPTOMATIC HAEMORRHOIDS. Afridi, Nazeem; Nazeem, Sadia; Hussain, Adil; Khan, Mazhar // JPMI: Journal of Postgraduate Medical Institute;2011, Vol. 25 Issue 2, p143 

    Objectives: To describe initial experience with stapled haemorrhoidectomy as a procedure for symptomatic haemorrhoids. Methodology: This descriptive study was conducted at department of surgery, Kuwait Teaching Hospital Peshawar from September 2008 to August 2009. All patients with hemorrhoids...

  • A new technique for suture rectopexy without resection for rectal prolapse. Liyanage, C. A. H.; Rathnayake, G.; Deen, K. I. // Techniques in Coloproctology;Mar2009, Vol. 13 Issue 1, p27 

    We surmised that if rectopexy was performed without dissection of the lateral rectal stalks in patients with full-thickness rectal prolapse and normal preoperative transit, sigmoid resection may not be required. This study evaluated a new approach to abdominal suture rectopexy for rectal...

  • Outcome and Management of Patients With Large Rectoanal Intussusception. Jeong Seok Choi; Yong Hee Hwang; Salum, Mara R.; Weiss, Eric G.; Pikarsky, Alon J.; Nogueras, Juan J.; Wexner, Steven D. // American Journal of Gastroenterology;Mar2001, Vol. 96 Issue 3, p740 

    OBJECTIVES: Rectoanal intussusception is the funnel-shaped infolding of the rectum, which occurs during evacuation. The aims of this study were to evaluate the risk of full thickness rectal prolapse during follow-up of patients with large rectoanal intussusception, and whether therapy improved...

  • Colonic and Anorectal Dysfunction in a Patient with the Tethered Cord Syndrome. Becker, Klaus; Enck, Paul; Wilhelm, Karin; Fischer, Hubert; Lübke, Heinrich J. // American Journal of Gastroenterology;Sep1994, Vol. 89 Issue 9, p1564 

    Although visceral dysfunction is commonly encountered in the tethered cord syndrome, alteration of intestinal motor and sensory function has not yet been specifically addressed in this neurological disorder. We report the case of a 54-yr-old woman with a rare form of adult onset tethered cord...

  • Focus on abdominal rectopexy for full-thickness rectal prolapse: meta-analysis of literature. Cadeddu, F.; Sileri, P.; Grande, M.; Luca, E.; Franceschilli, L.; Milito, G. // Techniques in Coloproctology;Feb2012, Vol. 16 Issue 1, p37 

    Background: Laparoscopic rectopexy to treat full-thickness rectal prolapse has proven short-term benefits, but there are few long-term follow-up and functional outcome data available. Using meta-analysis techniques, this study was designed to evaluate long-term results of open and laparoscopic...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sign out of this library

Other Topics