Rectal reservoir reduction procedures for internal rectal prolapse

Berman, Irwin R.; Harris, Marjorie S.; Leggett, Inez T.

doi:10.1007/bf02554624

Cited by 7 publications

(2 citation statements)

References 17 publications

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“…They did not discuss the effect on abdominal symptoms. In a later study Berman et al [44] used a similar technique to our own, by reducing the prolapsing mucosa with the application of multiple rubber bands. They found that constipation was relieved in 83% and improved in 17%.…”

Section: Effect Of Banding Of Prolapsing Mucosamentioning

confidence: 84%

Improvement in irritable bowel syndrome following ano-rectal surgery

Palmer

Lockley²,

Palmer³

et al. 2002

Int J Colorectal Dis

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This work suggests that in many patients with IBS there is a physical ano-rectal disorder amenable to physical treatment. Patients with IBS should all be proctoscoped carefully, with and without the patient straining, looking for abnormalities. Correcting mucosal prolapse and other anal problems produced an improvement in IBS symptoms in 86% of patients. This suggests that ano-enteric reflexes are a significant factor in irritable bowel syndrome, if not the major cause.

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Section: Effect Of Banding Of Prolapsing Mucosamentioning

confidence: 84%

Improvement in irritable bowel syndrome following ano-rectal surgery

Palmer

Lockley²,

Palmer³

et al. 2002

Int J Colorectal Dis

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“…Patients with severe outlet obstruction due to rectal intussusception who are refractory to nonoperative management may be treated surgically by using either an abdominal or a perineal approach [1,[5][6][7][8][9][10][11][12][13][14][15][16]. With few exceptions, reported series are small and long-term success rates vary between 40 and 100%, while definitions for success are not uniform (Table 1).…”

Section: Introductionmentioning

confidence: 98%

Delorme's operation for severe rectal outlet obstruction

et al. 2008

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Zusammenfassung. Grundlagen: Das Ziel dieser Untersuchung war es, Langzeitergebnisse nach der DelormeOperation für hochgradige rektale Intussuszeption zu evaluieren.Methodik: Fünfzehn Patienten, welche sich der Delorme-Operation zwischen 1996 und 2004 unterzogen haben, wurden telefonisch oder schriftlich befragt, wobei Obstipation und Inkontinenz präoperativ und zum Zeitpunkt der Befragung sowie der allgemeine Zufriedenheitsgrad mit dem Ergebnis der Operation erfasst wurden.Ergebnisse: Nach einem medianen Beobachtungszeitraum von 63 Monaten waren 9 Patienten (60 %) der Befragung zugänglich. Zwei davon berichteten über keine Verbesserung der Defäkationsprobleme, die restlichen 7 gaben eine Verbesserung der Defäkationssymptome an. Von den letzteren waren 6 mit dem Ergebnis der Operation zufrieden, einer war unzufrieden. Der mediane Obstipationsscore zeigte einen signifikanten Abfall von 16 (präoperativ) auf 10 (postoperativ). Allerdings berichteten 5 von 9 Patienten (55 %) über eine neu aufgetretene Kontinenzstörung nach der Operation.Schlussfolgerungen: Die Delorme-Operation kann die Obstipationssymptome bedingt durch rektale Intussuszeption deutlich verbessern und ist mit einem akzeptablen Zufriedenheitsgrad verbunden. Allerdings können einige Patienten nach der Operation eine gewisse Kontinenzstörung entwickeln, was ihre postoperative Lebensqualität beeinträchtigen kann.Summary. Background: The aim of this study was to evaluate the long-term outcome of Delorme's operation for severe symptomatic rectal outlet obstruction.Methods: In a retrospective cohort analysis, we have evaluated 15 patients operated between 1996 and 2004. Telephone interviews or mailed questionnaires assessed constipation and fecal incontinence preoperatively and at the time of follow-up and overall satisfaction with the outcome of the operation.Results: Nine patients (60%) were available for assessment by questionnaire after a median follow-up of 63 months. Two reported no improvement and seven reported an improvement in their defecation problems. Of the latter, six were satisfied with the outcome of the operation, and one was not. The median constipation score decreased significantly from preoperatively 16 (range 0-21) to 10 (range 0-14). However, 5=9 patients (55%) also reported a new continence disturbance after the operation.Conclusions: Delorme's operation provides relief of symptoms and an acceptable level of satisfaction in patients with rectal outlet obstruction due to intussusception. However, some patients can develop a variable degree of fecal incontinence following the procedure, and this fact might affect postoperative quality of life.

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