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Whole gut transit is prolonged after Ripstein rectopexy
I Schultz1, A Mellgren, M Oberg
1Department of Surgery, Karolinska Institutet, Danderyd Hospital, Stockholm, Sweden.
Summary
Ripstein rectopexy prolonged whole gut transit time. Preoperative marker retention predicts increased risk of postoperative constipation, aiding in patient risk assessment.
Area of Science:
- Colorectal surgery
- Gastrointestinal motility disorders
Background:
- Ripstein rectopexy is a surgical procedure for rectal prolapse and internal rectal intussusception.
- Postoperative constipation is a potential complication following this surgery.
Purpose of the Study:
- To evaluate changes in whole gut transit time after Ripstein rectopexy.
- To determine if preoperative whole gut transit time can predict postoperative constipation.
Main Methods:
- Prospective open study involving 30 patients undergoing Ripstein rectopexy.
- Whole-gut transit studies and symptom recording preoperatively and postoperatively.
- Assessment of marker retention and constipation symptoms.
Main Results:
- Significantly increased marker retention postoperatively compared to preoperatively (p < 0.001).
- Constipation primarily manifested as emptying difficulties, with no overall increase in reported symptoms.
- A weak but significant correlation was found between preoperative marker retention and postoperative emptying difficulties (p < 0.05).
Conclusions:
- Ripstein rectopexy leads to prolonged whole gut transit.
- Preoperative assessment of gut transit may identify patients at higher risk for developing constipation after surgery.