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...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Adisa Poljo, Bettina Klugsberger, Günther Klimbacher, Wolfgang Schimetta, Andreas Shamiyeh
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2021
Materias:	outlet obstruction laparoscopy colorectal surgery cleveland clinic constipation score gastrointestinal quality of life index Medicine R
Acceso en línea:	https://doaj.org/article/8c398033fc35407dbe67e72d265c5998
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:8c398033fc35407dbe67e72d265c5998
record_format	dspace
spelling	oai:doaj.org-article:8c398033fc35407dbe67e72d265c59982021-11-14T06:50:29ZClinical Outcome after Resection Rectopexy in patients with Constipation and Rectal Prolapse2783-243010.30476/acrr.2021.90321.1089https://doaj.org/article/8c398033fc35407dbe67e72d265c59982021-03-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47384_e95ba002256f66c28ed99ea74014879e.pdfhttps://doaj.org/toc/2783-2430Introduction: 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.Adisa PoljoBettina KlugsbergerGünther KlimbacherWolfgang SchimettaAndreas ShamiyehShiraz University of Medical Sciencesarticleoutlet obstructionlaparoscopycolorectal surgerycleveland clinic constipation scoregastrointestinal quality of life indexMedicineRENIranian Journal of Colorectal Research, Vol 9, Iss 1, Pp 12-17 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	outlet obstruction laparoscopy colorectal surgery cleveland clinic constipation score gastrointestinal quality of life index Medicine R
spellingShingle	outlet obstruction laparoscopy colorectal surgery cleveland clinic constipation score gastrointestinal quality of life index Medicine R Adisa Poljo Bettina Klugsberger Günther Klimbacher Wolfgang Schimetta Andreas Shamiyeh Clinical Outcome after Resection Rectopexy in patients with Constipation and Rectal Prolapse
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.
format	article
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
title	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_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_sort	clinical outcome after resection rectopexy in patients with constipation and rectal prolapse
publisher	Shiraz University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/8c398033fc35407dbe67e72d265c5998
work_keys_str_mv	AT adisapoljo clinicaloutcomeafterresectionrectopexyinpatientswithconstipationandrectalprolapse AT bettinaklugsberger clinicaloutcomeafterresectionrectopexyinpatientswithconstipationandrectalprolapse AT guumlntherklimbacher clinicaloutcomeafterresectionrectopexyinpatientswithconstipationandrectalprolapse AT wolfgangschimetta clinicaloutcomeafterresectionrectopexyinpatientswithconstipationandrectalprolapse AT andreasshamiyeh clinicaloutcomeafterresectionrectopexyinpatientswithconstipationandrectalprolapse
_version_	1718429850996310016

Clinical Outcome after Resection Rectopexy in patients with Constipation and Rectal Prolapse

Ejemplares similares