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Long-term outcome after resection rectopexy for internal rectal intussusception.

Egil Johnson1, Kristin Kjellevold, Hans-Olaf Johannessen

  • 1Department of Gastroenterological and Pediatric Surgery, Oslo University Hospital, Ulleval, Kirkeveien 166, 0407 Oslo, Norway ; Faculty of Medicine, University of Oslo, P.O. Box 1072 Blindern, 0316 Oslo, Norway.

ISRN Gastroenterology
|January 25, 2013
PubMed
Summary

Resection rectopexy significantly improved constipation and patient outcomes for internal rectal intussusception (IRI). While long-term quality of life showed some physical reductions, the procedure offers a beneficial treatment for IRI patients.

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Area of Science:

  • Colorectal surgery
  • Gastroenterology
  • Surgical outcomes

Background:

  • Optimal treatment for internal rectal intussusception (IRI) remains unclear.
  • Resection rectopexy is a potential surgical approach for IRI.

Purpose of the Study:

  • To evaluate the short- and long-term outcomes of resection rectopexy in patients with IRI.
  • To assess the impact on constipation, anal incontinence, and health-related quality of life (HRQoL).

Main Methods:

  • Observational, prospective study of 48 patients with IRI.
  • Ligament-preserving suture rectopexy performed laparoscopically or openly.
  • Outcome measures included morbidity, symptom scores, patient-reported outcomes, and HRQoL.

Main Results:

  • Significant reduction in constipation scores (P < 0.0001) and symptoms at short- and long-term follow-up.
  • Constipation resolved in most patients, with no new cases post-surgery.
  • Anal incontinence scores showed moderate improvement.
  • Patient-reported outcomes improved significantly (85.4% short-term, 75.0% long-term).
  • Long-term HRQoL was reduced in physical dimensions compared to the general population.

Conclusions:

  • Resection rectopexy effectively improves outcomes for patients with internal rectal intussusception.
  • The procedure leads to significant relief from constipation and improved patient-reported results.
  • While physical aspects of HRQoL may be impacted long-term, surgical intervention is beneficial.