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Rectal prolapse

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https://www.readbyqxmd.com/read/29146069/solitary-rectal-ulcer-in-a-patient-with-rectal-prolapse
#1
Inmaculada Torrijo Gómez, Zutoia Balciscueta Coltell, Josefina Sanjuan Jiménez, Natalia Uribe Quintana
No abstract text is available yet for this article.
November 13, 2017: Cirugía Española
https://www.readbyqxmd.com/read/29136128/the-proton-activated-receptor-gpr4-modulates-intestinal-inflammation
#2
Yu Wang, Cheryl de Vallière, Pedro H Imenez Silva, Irina Leonardi, Sven Gruber, Alexandra Gerstgrasser, Hassan Melham, Achim Weber, Katharina Leucht, Lutz Wolfram, Martin Hausmann, Carsten Krieg, Koray Thomasson, Onur Boyman, Isabelle Frey-Wagner, Gerhard Rogler, Carsten A Wagner
BACKGROUND AND AIMS: During active inflammation tissue intraluminal intestinal pH is decreased in patients with inflammatory bowel disease (IBD). Acidic pH may play a role in IBD pathophysiology. Recently, proton sensing G-protein coupled receptors were identified, including GPR4, OGR1 (GPR68), and TDAG8 (GPR65). We investigated whether GPR4 is involved in intestinal inflammation. METHODS: The role of GPR4 was assessed in murine colitis models: chronic dextran sulphate sodium (DSS) administration and by crossbreeding into an IL-10 deficient background for development of spontaneous colitis...
November 9, 2017: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/29119251/postoperative-complications-and-long-term-functional-outcome-in-children-operated-for-idiopathic-rectal-prolapse
#3
Elin Albertsdottir, Niels Qvist
PURPOSE: The aim of the present study was to evaluate the postoperative complications and the long-term gastrointestinal functional outcome after surgical treatment for rectal prolapse on a strategy with stapled anopexy for short (< 5 cm) prolapse and Delormes procedure for longer (> 5 cm) rectal prolapse. METHODS: A total of 38 patients were included with a postoperative follow-up period ranging from 1 month to 9.1 years. Thirty patients (83%) completed the Rome III questionnaire on gastrointestinal function, with the follow-up period ranging from 2 months to 7 years...
November 8, 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/29103788/sclerotherapy-for-the-management-of-rectal-prolapse-in-children
#4
Scott C Dolejs, Justin Sheplock, Robert J Vandewalle, Mathew P Landman, Frederick J Rescorla
PURPOSE: Rectal prolapse is a commonly occurring and usually self-limited process in children. Surgical management is indicated for failures of conservative management. However, the optimal approach is unknown. The purpose of this study is to determine the efficacy of sclerotherapy for the management of rectal prolapse. METHODS: This was a retrospective review of children <18years with rectal prolapse who underwent sclerotherapy, predominantly with peanut oil (91%), between 1998 and 2015...
October 10, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29102296/sacral-neuromodulation-for-faecal-incontinence-10-years-experience-at-a-scottish-tertiary-centre
#5
Hoey Koh, Stephen McSorley, Sarah Hunt, Martha Quinn, Graham MacKay, John Anderson
INTRODUCTION: Sacral nerve stimulation (SNS) is increasingly popular in the management of faecal incontinence. This paper reports the first 10-year experience of SNS in the management of faecal incontinence at a tertiary referral centre. Data was collected in a prospectively maintained database. RESULTS: In total 130 patients were referred. The majority were women (94%) under 75-year-old (98%). Seven patients were found to have full-thickness rectal prolapse at the initial work-up and proceeded to rectopexy...
October 25, 2017: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29101494/a-systematic-review-of-online-resources-to-support-patient-decision-making-for-full-thickness-rectal-prolapse-surgery
#6
G E Fowler, D M Baker, M J Lee, S R Brown
BACKGROUND: The internet is becoming an increasingly popular resource to support patient decision-making outside of the clinical encounter. The quality of online health information is variable and largely unregulated. The aim of this study was to assess the quality of online resources to support patient decision-making for full-thickness rectal prolapse surgery. METHODS: This systematic review was registered on the PROSPERO database (CRD42017058319). Searches were performed on Google and specialist decision aid repositories using a pre-defined search strategy...
November 3, 2017: Techniques in Coloproctology
https://www.readbyqxmd.com/read/29057966/mkl1-expressed-in-macrophages-contributes-to-the-development-of-murine-colitis
#7
Jianbo An, Takashi Nagaishi, Taro Watabe, Taeko K Naruse, Mamoru Watanabe, Akinori Kimura
Mice deficient in the megakaryoblastic leukaemia 1 (Mkl1) gene experience less severe dextran sulphate sodium (DSS)-induced colitis, implying that Mkl1 plays a pathological role in inflammatory bowel disease (IBD). However, the contribution of Mkl1 to the development of colitis remains to be elucidated. The expression of Mkl1 is higher in the colonic lamina propria macrophages (LPMac) of DSS-treated mice than in those of control mice. Therefore, we established a transgenic mouse line that overexpresses human MKL1 (MKL1-Tg) specifically in cells of the monocyte/macrophage lineage, in order to investigate the potential role of macrophage MKL1 in the pathogenesis of colitis...
October 20, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29050194/update-on-the-pathophysiology-and-management-of-anorectal-disorders
#8
REVIEW
Tanisa Patcharatrakul, Satish S C Rao
Anorectal disorders are common and present with overlapping symptoms. They include several disorders with both structural and functional dysfunction(s). Because symptoms alone are poor predictors of the underlying pathophysiology, a diagnosis should only be made after evaluating symptoms and physiologic and structural abnormalities. A detailed history, a thorough physical and digital rectal examination and a systematic evaluation with high resolution and/or high definition three-dimensional (3D) anorectal manometry, 3D anal ultrasonography, magnetic resonance defecography and neurophysiology tests are essential to correctly identify these conditions...
October 23, 2017: Gut and Liver
https://www.readbyqxmd.com/read/28991087/robot-assisted-ventral-mesh-rectopexy-for-rectal-prolapse-a-5-year-experience-at-a-tertiary-referral-center
#9
Jan J van Iersel, Hendrik A Formijne Jonkers, Tim J C Paulides, Paul M Verheijen, Werner A Draaisma, Esther C J Consten, Ivo A M J Broeders
BACKGROUND: Laparoscopic ventral mesh rectopexy is being increasingly performed internationally to treat rectal prolapse syndromes. Robotic assistance appears advantageous for this procedure, but literature regarding robot-assisted ventral mesh rectopexy is limited. OBJECTIVE: The primary objective of this study was to assess the safety and effectiveness of robot-assisted ventral mesh rectopexy in the largest consecutive series of patients to date. DESIGN: This study is a retrospective cross-sectional analysis of prospectively collected data...
November 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/28991076/expert-commentary-on-rectal-prolapse
#10
COMMENT
Madhulika G Varma
No abstract text is available yet for this article.
November 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/28991075/rectal-prolapse
#11
Sarah A Vogler
No abstract text is available yet for this article.
November 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/28991074/clinical-practice-guidelines-for-the-treatment-of-rectal-prolapse
#12
Liliana Bordeianou, Ian Paquette, Eric Johnson, Stefan D Holubar, Wolfgang Gaertner, Daniel L Feingold, Scott R Steele
No abstract text is available yet for this article.
November 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/28960928/surgery-for-constipation-systematic-review-and-practice-recommendations-results-iii-rectal-wall-excisional-procedures-rectal-excision
#13
REVIEW
M Mercer-Jones, U Grossi, D Pares, P F Vollebregt, J Mason, C H Knowles
AIM: To assess the outcomes of rectal excisional procedures in adults with chronic constipation. METHOD: Standardised methods and reporting of benefits and harms were used for all CapaCiTY reviews that closely adhered to PRISMA 2016 guidance. Main conclusions were presented as summary evidence statements with a summative Oxford Centre for Evidence-Based Medicine (2009) level. RESULTS: Forty-seven studies were identified, providing data on outcomes in 8340 patients...
September 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28960927/surgery-for-constipation-systematic-review-and-practice-recommendations-results-ii-hitching-procedures-for-the-rectum-rectal-suspension
#14
REVIEW
U Grossi, C H Knowles, J Mason, J Lacy-Colson, S R Brown
AIM: To assess the outcomes of rectal suspension procedures (forms of rectopexy) in adults with chronic constipation. METHOD: Standardised methods and reporting of benefits and harms were used for all CapaCiTY reviews that closely adhered to PRISMA 2016 guidance. Main conclusions were presented as summary evidence statements with a summative Oxford Centre for Evidence-Based Medicine (2009) level. RESULTS: Eighteen articles were identified, providing data on outcomes in 1238 patients...
September 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28956135/procedure-for-prolapse-and-hemorrhoids-pph-with-low-rectal-anastomosis-using-a-pph-03-stapler-low-rate-of-recurrence-and-postoperative-complications
#15
Yoshiro Iida, Hideo Saito, Yoshihiro Takashima, Kenichiro Saitou, Yoshinori Munemoto
PURPOSE: The procedure for prolapse and hemorrhoids (PPH) has the advantage of less postoperative pain. However, serious postoperative complications have been reported after PPH, and the postoperative recurrence rate is high in comparison with conventional Milligan-Morgan hemorrhoidectomy (MMH). The purpose of this study was to evaluate PPH with low rectal anastomosis (PPH-LA) in comparison with the original PPH and MMH. METHODS: Among a total of 1315 patients with hemorrhoids, MMH was conducted in 322, original PPH using a PPH 01 stapler (PPH01) in 63, PPH-LA using 01 (PPH-LA01) in 236, 03 (PPH-LA03) in 649, and sclerotherapy (SCL) in 45...
September 27, 2017: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/28953077/rare-enterorectal-pelvic-floor-hernia-a-cadaveric-study
#16
Jennifer C Hocking, Momoe Hyakutake, Christine A Webber
We present a cadaveric case study of an 88-year-old woman with an unusual posterior perineal hernia containing small bowel, rectum, and mesentery. Dissection revealed several loops of the small bowel occupying the presacral space and displacement of the rectum into a large perineal evagination. The intestinal mucosa appeared to have been healthy at the time of death, and we did not find any indication of rectal prolapse. There was also no evidence of past surgery, suggestive of a primary hernia. We conclude this patient had a posterior enterorectal perineal hernia...
September 25, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28931290/-obstructed-defecation-syndrome-review-article
#17
L Sákra, J Šiller
INTRODUCTION: Obstructed defecation syndrome (ODS) is one of the main causes of primary constipation. It is caused by anatomical disorders in the pelvic floor region (rectocoele, en-terocoele, rectal intussusception, rectal prolapse), but it always occurs in combination with a functional defect of defecation. This review provides a comprehensive view of the diagnosis and treatment of the syndrome. METHOD: Treatment may be conservative or surgical. Conservative treatment involves a complex of approaches to the practice of defecation, regime and dietary measures together with pelvic floor rehabilitation and psychological support...
2017: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/28926174/position-statement-by-the-pelvic-floor-society-on-behalf-of-the-association-of-coloproctology-of-great-britain-and-ireland-on-the-use-of-mesh-in-ventral-mesh-rectopexy-vmr
#18
M A Mercer-Jones, S R Brown, C H Knowles, A B Williams
The following position statement forms part of a response to the current concerns regarding use of mesh to perform rectal prolapse surgery. It highlights the actions being pursued by The Pelvic Floor Society (TPFS) regarding clinical governance in relation to ventral mesh rectopexy (VMR). This article is protected by copyright. All rights reserved.
September 19, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28890414/perineal-resectional-procedures-for-the-treatment-of-complete-rectal-prolapse-a-systematic-review-of-the-literature
#19
REVIEW
Sameh Hany Emile, Hossam Elfeki, Mostafa Shalaby, Ahmad Sakr, Pierpaolo Sileri, Steven D Wexner
BACKGROUND AND AIM: Several procedures for the treatment of complete rectal prolapse (CRP) exist. These procedures are performed via the abdominal or perineal approach. Perineal procedures for rectal prolapse involve either resection or suspension and fixation of the rectum. The present review aimed to assess the outcomes of the perineal resectional procedures including Altemeier procedure (AP), Delorme procedure (DP), and perineal stapled prolapse resection (PSR) in the treatment of CRP...
October 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28876650/pph-where-did-it-go-wrong
#20
D Surridge
BACKGROUND: The stapled haemorrhoidopexy has been used for 20 years. A rare but serious complication is stenosis, occurring in 1-2% of cases. The mechanism for this stenosis has never been described. METHOD: The cadavers of five pigs previously euthanised underwent the procedure for prolapse and haemorrhoids (PPH). Four deliberate mistakes were tested: 1) doubling the circular suture back on itself for part of the circumference at the same depth; 2) placing the circular suture at varying depths; 3) placing one bite of the suture deeper and on the opposite wall of the rectum; and 4) firing the stapler with the anvil positioned proximal to the circular suture but with the suture secured tightly to the shaft of the device...
June 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
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