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Rectal reservoir reduction procedures for internal rectal prolapse.
I R Berman1, M S Harris, I T Leggett
1Glynn Brunswick Memorial Hospital, Brunswick, Georgia.
Diseases of the Colon and Rectum
|October 1, 1987
Summary
Treating internal rectal intussusception causing outlet constipation with rectal reservoir reduction significantly improved bowel function. Procedures like elastic ligation or staple excision were effective with minimal complications for most patients.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Outlet constipation is a common condition.
- Internal rectal intussusception (IRI) is a potential cause of outlet constipation.
- Cinedefecography is a key diagnostic tool for IRI.
Purpose of the Study:
- To evaluate the efficacy of rectal reservoir reduction for painful outlet constipation due to IRI.
- To assess the safety and outcomes of elastic ligation or staple excision procedures.
Main Methods:
- Forty-four patients with painful outlet constipation and documented IRI underwent rectal reservoir reduction.
- Procedures included multiple elastic ligation or staple excision of redundant rectal mucosa.
- Treatments were performed under intravenous sedation with antibiotic prophylaxis.
Main Results:
- The majority of patients experienced significant improvement in bowel function and outlet symptoms.
- Rectal reduction procedures were generally safe, with no postoperative sepsis reported.
- One patient experienced significant postoperative bleeding; other associated defecography abnormalities were unaffected.
Conclusions:
- Rectal reservoir reduction is an effective treatment for outlet constipation caused by internal rectal intussusception.
- Elastic ligation and staple excision offer a safe and effective surgical option for managing redundant rectal mucosa in these patients.