title: Aluminum potassium sulfate and tannic acid injection in the treatment of total rectal prolapse: early outcomes.
abstract: OBJECTIVE
  No surgical method for repair of total rectal prolapse has been established as optimal. We describe a new technique that uses ALTA (aluminum potassium sulfate and tannic acid) injection as a simple perianal procedure for total rectal prolapse.
  
  
  METHODS
  Fourteen patients with total rectal prolapse were treated with sclerosing therapy by using ALTA injection. Via a perianal approach, 0.5 to 1 ml of ALTA solution was injected along a linear track into the submucosa at 30 to 80 different sites, totaling 20 to 60 ml.
  
  
  RESULTS
  All 14 patients treated with injection sclerotherapy were cured, with no intraoperative or postoperative complications. One patient required a repeat injection after two months to be cured. No exacerbation of constipation has resulted, and no stenosis has been evident on rectal examination. In seven of ten patients presenting with fecal incontinence, this complaint resolved after therapy.
  
  
  CONCLUSIONS
  ALTA sclerotherapy yielded satisfactory results in total rectal prolapse, causing no alteration in neurophysiology of bowel function. Injection sclerotherapy should be recommended as the first procedure for treatment of total rectal prolapse.
authors: Department of Proctology, Kunimoto Hospital, 1-7, Akebono, Asahikawa, Japan. yhachiro2004@yahoo.co.jp
authors: Yoshikazu
authors: Y
authors: Hachiro
authors: Masao
authors: M
authors: Kunimoto
authors: Tatsuya
authors: T
authors: Abe
authors: Masahiro
authors: M
authors: Kitada
authors: Yoshiaki
authors: Y
authors: Ebisawa
mesh_terms: D000276:Adjuvants, Immunologic / Q000008:administration & dosage*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000534:Alum Compounds / Q000008:administration & dosage*; D019841:Defecography; D004338:Drug Combinations; D006801:Humans; D007267:Injections; D008875:Middle Aged; D012005:Rectal Prolapse / Q000628:therapy*; D012597:Sclerosing Solutions / Q000008:administration & dosage*; D013634:Tannins / Q000008:administration & dosage*
chemical_list: D000276:Adjuvants, Immunologic; D000534:Alum Compounds; D004338:Drug Combinations; D012597:Sclerosing Solutions; D013634:Tannins; C041524:aluminum sulfate