Clinical Outcome after Resection Rectopexy in patients with Constipation and Rectal Prolapse
Introduction: Laparoscopic resection rectopexy (LRR) is an established procedure for the treatment of rectal prolapse. This study evaluated constipation and gastrointestinal quality of life in patients before and after LRR for rectal prolapse. Methods: 30 patients (24 females, 6 males) underwent lap...
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2021-03-01
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| Series: | Iranian Journal of Colorectal Research |
| Subjects: | |
| Online Access: | https://colorectalresearch.sums.ac.ir/article_47384_e95ba002256f66c28ed99ea74014879e.pdf |
| _version_ | 1811230005787623424 |
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| author | Adisa Poljo Bettina Klugsberger Günther Klimbacher Wolfgang Schimetta Andreas Shamiyeh |
| author_facet | Adisa Poljo Bettina Klugsberger Günther Klimbacher Wolfgang Schimetta Andreas Shamiyeh |
| author_sort | Adisa Poljo |
| collection | DOAJ |
| description | Introduction: Laparoscopic resection rectopexy (LRR) is an established procedure for the treatment of rectal prolapse. This study evaluated constipation and gastrointestinal quality of life in patients before and after LRR for rectal prolapse. Methods: 30 patients (24 females, 6 males) underwent laparoscopic anterior (n = 14), posterior (n = 8) and suture resection rectopexy (n = 8) for rectal prolapse during 2010 – 2020. 25 were retrospectively evaluated for constipation and gastrointestinal quality of life using validated Cleveland Clinic Constipation Score (CCCS) and Gastrointestinal Quality of Life Index (GIQLI). Results: Constipation score was significantly reduced from median 16.0 ± 6.4 to 6.0 ± 4.7 after 68.0 ± 42.8 months (p < 0.001). Constipation was improved in 20 patients (80.0%), unaltered in 2 patients and worse in 3 patients. Prior abdominal surgeries were associated with less improvement for constipation (p < 0,05). Significant improvement in GIQLI score was observed, with median total GIQLI score increasing from 95.0 ± 14.8 to 124.0 ± 18.2 (p < 0.001). Quality of life improved in 21 patients (84.0%). Positive changes were also observed in GIQLI subgroups of gastrointestinal symptoms, emotions, physical status, social dysfunction and effects of medical treatment (p < 0.001). There was no difference in outcome between the three procedures. Conclusion: Laparoscopic resection rectopexy for rectal prolapse is safe, feasible, and very effective regarding both perioperative results and long-term functional outcome. Our results suggest that LRR significantly improves constipation in patients with outlet obstruction and clearly contributes to a higher quality of life. |
| first_indexed | 2024-04-12T10:21:37Z |
| format | Article |
| id | doaj.art-8c398033fc35407dbe67e72d265c5998 |
| institution | Directory Open Access Journal |
| issn | 2783-2430 |
| language | English |
| last_indexed | 2024-04-12T10:21:37Z |
| publishDate | 2021-03-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Colorectal Research |
| spelling | doaj.art-8c398033fc35407dbe67e72d265c59982022-12-22T03:37:04ZengShiraz University of Medical SciencesIranian Journal of Colorectal Research2783-24302021-03-0191121710.30476/acrr.2021.90321.108947384Clinical Outcome after Resection Rectopexy in patients with Constipation and Rectal ProlapseAdisa Poljo0Bettina Klugsberger1Günther Klimbacher2Wolfgang Schimetta3Andreas Shamiyeh4Clinic for General and Visceral Surgery, Kepler University ClinicClinic for General and Visceral Surgery, Kepler University ClinicClinic for General and Visceral Surgery, Kepler University ClinicDepartment of Applied Systems Research and Statistics, Johannes Kepler UniversityClinic for General and Visceral Surgery, Kepler University ClinicIntroduction: Laparoscopic resection rectopexy (LRR) is an established procedure for the treatment of rectal prolapse. This study evaluated constipation and gastrointestinal quality of life in patients before and after LRR for rectal prolapse. Methods: 30 patients (24 females, 6 males) underwent laparoscopic anterior (n = 14), posterior (n = 8) and suture resection rectopexy (n = 8) for rectal prolapse during 2010 – 2020. 25 were retrospectively evaluated for constipation and gastrointestinal quality of life using validated Cleveland Clinic Constipation Score (CCCS) and Gastrointestinal Quality of Life Index (GIQLI). Results: Constipation score was significantly reduced from median 16.0 ± 6.4 to 6.0 ± 4.7 after 68.0 ± 42.8 months (p < 0.001). Constipation was improved in 20 patients (80.0%), unaltered in 2 patients and worse in 3 patients. Prior abdominal surgeries were associated with less improvement for constipation (p < 0,05). Significant improvement in GIQLI score was observed, with median total GIQLI score increasing from 95.0 ± 14.8 to 124.0 ± 18.2 (p < 0.001). Quality of life improved in 21 patients (84.0%). Positive changes were also observed in GIQLI subgroups of gastrointestinal symptoms, emotions, physical status, social dysfunction and effects of medical treatment (p < 0.001). There was no difference in outcome between the three procedures. Conclusion: Laparoscopic resection rectopexy for rectal prolapse is safe, feasible, and very effective regarding both perioperative results and long-term functional outcome. Our results suggest that LRR significantly improves constipation in patients with outlet obstruction and clearly contributes to a higher quality of life.https://colorectalresearch.sums.ac.ir/article_47384_e95ba002256f66c28ed99ea74014879e.pdfoutlet obstructionlaparoscopycolorectal surgerycleveland clinic constipation scoregastrointestinal quality of life index |
| spellingShingle | Adisa Poljo Bettina Klugsberger Günther Klimbacher Wolfgang Schimetta Andreas Shamiyeh Clinical Outcome after Resection Rectopexy in patients with Constipation and Rectal Prolapse Iranian Journal of Colorectal Research outlet obstruction laparoscopy colorectal surgery cleveland clinic constipation score gastrointestinal quality of life index |
| title | Clinical Outcome after Resection Rectopexy in patients with Constipation and Rectal Prolapse |
| title_full | Clinical Outcome after Resection Rectopexy in patients with Constipation and Rectal Prolapse |
| title_fullStr | Clinical Outcome after Resection Rectopexy in patients with Constipation and Rectal Prolapse |
| title_full_unstemmed | Clinical Outcome after Resection Rectopexy in patients with Constipation and Rectal Prolapse |
| title_short | Clinical Outcome after Resection Rectopexy in patients with Constipation and Rectal Prolapse |
| title_sort | clinical outcome after resection rectopexy in patients with constipation and rectal prolapse |
| topic | outlet obstruction laparoscopy colorectal surgery cleveland clinic constipation score gastrointestinal quality of life index |
| url | https://colorectalresearch.sums.ac.ir/article_47384_e95ba002256f66c28ed99ea74014879e.pdf |
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