title: Resection rectopexy for internal rectal intussusception reduces constipation and incomplete evacuation of stool.
abstract: 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.
authors.affiliation: Department of Gastroenterological Surgery, Ullevål Hospital, University of Oslo, Oslo, Norway. egil.johnson@ulleval.no
authors.forename: Egil
authors.initials: E
authors.lastname: Johnson
authors.forename: Erik
authors.initials: E
authors.lastname: Carlsen
authors.forename: Odd
authors.initials: O
authors.lastname: Mjåland
authors.forename: Anders
authors.initials: A
authors.lastname: Drolsum
mesh_terms: 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*