ArticleTechniques in coloproctology2014
Colonic transit before and after resection rectopexy for full-thickness rectal prolapse.
Article in Techniques in coloproctology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Surgery for complete (full-thickness) rectal prolapse in adults.The Cochrane database of systematic reviews · 2015Pooled it
- Predictive factors for functional failure of ventral mesh rectopexy in the treatment of rectal prolapse and obstructed defecation.Techniques in coloproctology · 2022Article
- Update on Robotic Rectal Prolapse Treatment.Journal of personalized medicine · 2021Review
- Abdominal ventral rectopexy with colectomy for obstructed defecation syndrome: An alternative option for selected patients.World journal of clinical cases · 2020Article
- Modified perineal linear stapler resection for external rectal prolapse.Annals of medicine and surgery (2012) · 2020Article
- Consensus Statement of the Italian Society of Colorectal Surgery (SICCR): management and treatment of complete rectal prolapse.Techniques in coloproctology · 2018Review
- Optimizing Treatment for Rectal Prolapse.Clinics in colon and rectal surgery · 2016Article
- Laparoscopic surgery for rectal prolapse and pelvic floor disorders.World journal of gastrointestinal endoscopy · 2015Review
- Laparoscopic ventral rectopexy: resection or no resection? That is the question….Techniques in coloproctology · 2014Article
- The evidence base for rectal prolapse surgery: is resection rectopexy worth the risk?Techniques in coloproctology · 2014Article
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Authors and funding
4 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe objective of this study was to measure the change in colonic transit time after resection rectopexy for complete rectal prolapse.
methodsWe prospectively carried out isotope colonic transit studies before resection rectopexy in 38 patients with full-thickness complete rectal prolapse and invited them to attend for a postoperative transit study at least 1 year after resection rectopexy.
resultsPreoperatively, 27 (70 %) patients had abnormally prolonged colonic transit times, while 11 had normal colonic transit. Twenty-two (61 %) patients agreed to attend for a three-day colonic transit study. Resection rectopexy failed to correct delayed colonic transit in all patients with abnormal preoperative tests, while 4 patients developed new delayed transit and 2 with normal transit were unchanged.
conclusionsThe study suggests that most prolapse patients have a pan-colonic motility disorder that is not corrected by rectopexy and resection of most of the left colon. If resection rectopexy fails to correct abnormal transit, this study questions the rationale for continuing to offer resection and supports less invasive surgical procedures such as ventral rectopexy.
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