Resection rectopexy for internal rectal intussusception reduces constipation and incomplete evacuation of stool.
OBJECTIVE
To study the effect of rectopexy and sigmoid resection (resection rectopexy) on symptoms in patients with internal rectal intussusception.


METHODS
Retrospective and prospective study.


METHODS
University hospital, Norway.


METHODS
22 patients with internal rectal intussusception.


METHODS
Resection rectopexy by an open (n = 13) or laparoscopically-assisted (n = 9) technique.


METHODS
Symptomatic outcome, patients' satisfaction, and morbidity. Outcome was based mainly on the validated KESS score, which covers 10 symptoms included in the definiton of constipation.


RESULTS
There was a significant reduction in all 10 symptoms. Two patients complained of incontinence which improved after operation. The number of patients with constipation was reduced from 20 to 8 (p = 0.000) and none became constipated. Mean (95% CI) colonic transit times before and after operation in 10 patients with constipation were 5.3 (4.1 to 6.4) and 4.0 (2.6 to 5.4) days (p = 0.083). Seven of these 10 patients had a reduction of both transit time and constipation score. Six patients had complications after open operations. These included one damaged ureter, reoperations for bleeding, incomplete intestinal obstruction, and 2 wound infections.


CONCLUSIONS
Rectopexy with sigmoid resection resulted in improvement in symptoms, including constipation and feeling of incomplete rectal evacuation, and acceptable morbidity.
Johnson
Egil
E
Department of Gastroenterological Surgery, Ullevål Hospital, University of Oslo, Oslo, Norway. egil.johnson@ulleval.no
Carlsen
Erik
E
Mjåland
Odd
O
Drolsum
Anders
A
D000328:Adult; D000368:Aged; D012809:Colon, Sigmoid / Q000601:surgery; D003248:Constipation / Q000209:etiology / Q000503:physiopathology*; D003672:Defecation; D005260:Female; D005772:Gastrointestinal Transit; D006801:Humans; D007443:Intussusception / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications; D012007:Rectum / Q000601:surgery*