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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
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Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and solid...
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

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Related Experiment Video

Updated: May 15, 2026

Functional Assessment of Intestinal Motility and Gut Wall Inflammation in Rodents: Analyses in a Standardized Model of Intestinal Manipulation
09:44

Functional Assessment of Intestinal Motility and Gut Wall Inflammation in Rodents: Analyses in a Standardized Model of Intestinal Manipulation

Published on: September 11, 2012

[Transanal procedure for functional bowel diseases].

C Isbert1, C-T Germer

  • 1Klinik & Poliklinik für Allgemein- und Viszeralchirurgie, Gefäß- und Kinderchirurgie, Universitätsklinikum Würzburg, Zentrum Operative Medizin, Würzburg. isbert_c@chirurgie.uni-wuerzburg.de

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|December 25, 2012
PubMed
Summary
This summary is machine-generated.

Transanal procedures for obstructive defecation syndrome (ODS) are options when conservative treatments fail. The stapled transanal rectal resection (STARR) procedure shows high effectiveness and stable long-term results for outlet obstruction.

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Last Updated: May 15, 2026

Functional Assessment of Intestinal Motility and Gut Wall Inflammation in Rodents: Analyses in a Standardized Model of Intestinal Manipulation
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Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
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Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice

Published on: July 12, 2018

Area of Science:

  • Gastroenterology and Colorectal Surgery
  • Surgical Treatment of Pelvic Floor Disorders

Context:

  • Obstructive defecation syndrome (ODS) often requires surgical intervention when conservative measures prove ineffective.
  • Established transanal procedures include rectocele resection (RR), Rehn-Delorme (MR), and stapled transanal rectal resection (STARR).
  • Evidence for RR and MR in ODS treatment is limited, with low study quality.

Purpose:

  • To evaluate the efficacy and long-term outcomes of transanal operative procedures for obstructive defecation syndrome (ODS).
  • To compare the evidence levels and functional results of different transanal techniques, particularly STARR versus RR and MR.

Summary:

  • The STARR procedure is well-documented in numerous high-quality studies, offering a high evidence level for ODS treatment.
  • Functional outcomes for STARR show response rates up to 90% with recurrence rates not exceeding 18% at 68 months.
  • RR and MR have limited supporting studies, though they may be indicated for rectocele-associated symptoms like incomplete evacuation and straining.

Impact:

  • The STARR procedure offers a robust solution for conservative refractory outlet obstruction, demonstrating good functional results.
  • This surgical option is associated with minor morbidity and maintains stable outcomes over extended follow-up periods.
  • Provides valuable evidence for surgical decision-making in complex ODS cases.