title: [The National Workshop on Defecography: anorectal deformities with a functional origin (prolapse, intussusception, rectocele)].
abstract: The nonoperative treatment--i.e., rubber band ligation and sclerotherapy--of mucous rectal prolapse, rectocele and intussusception is much less expensive than conventional surgery (Lit. 325,000 vs. 6,500,000, p < 0.0001 on the average). Symptom relief, however, has been reported in 0 to 57% of cases only, according to current literature. A possible cause is represented by improper management from misdiagnosis, relying on clinical findings only, overestimating mucous prolapse in 36.37% of cases and underestimating intussusception in 14.22% of cases (with respect to defecography). Defecography is a cost-effective method (average cost: Lit. 37,000) potentially reducing failure rate after the surgical repair of rectal prolapse.
authors.affiliation: Istituto Geriatrico, Fermo, Ascoli Piceno.
authors.forename: V
authors.initials: V
authors.lastname: Piloni
authors.forename: F
authors.initials: F
authors.lastname: Pomerri
authors.forename: E
authors.initials: E
authors.lastname: Platania
authors.forename: L
authors.initials: L
authors.lastname: Pieri
authors.forename: F
authors.initials: F
authors.lastname: Pinto
authors.forename: G
authors.initials: G
authors.lastname: Gasparini
authors.forename: N
authors.initials: N
authors.lastname: Genovesi
authors.forename: E
authors.initials: E
authors.lastname: Di Giandomenico
authors.forename: R
authors.initials: R
authors.lastname: Grassi
authors.forename: A
authors.initials: A
authors.lastname: Salzano
mesh_terms: D000556:Ambulatory Surgical Procedures; D001003:Anal Canal / Q000000981:diagnostic imaging* / Q000601:surgery; D001004:Anus Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D003672:Defecation; D006547:Hernia / Q000000981:diagnostic imaging; D059685:Herniorrhaphy; D006801:Humans; D007443:Intussusception / Q000000981:diagnostic imaging* / Q000601:surgery; D007558:Italy; D011859:Radiography; D012002:Rectal Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D012005:Rectal Prolapse / Q000000981:diagnostic imaging* / Q000601:surgery; D012007:Rectum / Q000000981:diagnostic imaging* / Q000601:surgery
vernacular_title: II Workshop Nazionale sulla defecografia: le deformità ano-rettali con origine funzionale (prolasso, intussuscezione, rettocele).