A review of the surgical treatment of obstructive defecation syndrome

doi:10.3877/cma.j.issn.2095-3224.2015.03.09

Abstract

Abstract:

The surgical treatment of obstructed defecation syndrome(ODS)should be thoroughly and objectively assessed and the surgical approach should be decided based on the detailed results after the exclusion of contraindications.Currently, PPH-STARR, Contour Transtar and TSTstarr+ are all effective surgical approaches for ODS with the similar efficacy.However, the final decision made by us surgeons should be tailored to the individual’s situations.

Key words: Constipation, Obstructed defecation syndrome, Lower gastrointestinal tract

Dong-lin REN, Hong-cheng LIN. A review of the surgical treatment of obstructive defecation syndrome[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2015, 04(04): 392-395.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhjzcjbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-3224.2015.03.09

https://zhjzcjbdzzz.cma-cmc.com.cn/EN/Y2015/V04/I04/392

Figures/Tables 1

References 16

[1]	Lembo A, Camilleri M. Chronic constipation.N Engl J Med, 2003, 349(14): 1360-1368.
[2]	Karlbom U, Graf W, Nilsson S, et al.The accuracy of clinical examination in the diagnosis of rectal intussusception.Dis Colon Rectum, 2004, 47(9): 1533-1538.
[3]	Schwandner O, Stuto A, Jayne D, et al.Decision-making algorithm for the STARR procedure in obstructed defecation syndrome: position statement of the group of STARR Pioneers.Surg Innov, 2008, 15(2): 105-109.
[4]	Nyam DC, Pemberton JH, Ilstrup DM, et al.Long-term results of surgery for chronic constipation.Dis Colon Rectum, 1997, 40(3): 273-279.
[5]	Brown AJ, Anderson JH, McKee RF, et al.Surgery for occult rectal prolapse.Colorectal Dis, 2004, 6(3): 176-179.
[6]	Pescatori M, Spyrou M, Pulvirenti d'Urso A. A prospective evaluation of occult disorders in obstructed defecation using the 'iceberg diagram'.Colorectal Dis, 2007, 9(5): 452-456.
[7]	Pescatori M, Boffi F, Russo A, et al.Complications and recurrence after excision of rectal internal mucosal prolapse for obstructed defaecation.Int J Colorectal Dis, 2006, 21(2): 160-165.
[8]	中华医学会外科学分会结直肠肛门外科学组．便秘外科诊治专家共识．中华胃肠外科杂志，2010，13(7): 546-547.
[9]	Jayne DG, Schwandner O, Stuto A. Stapled transanal rectal resection for obstructed defecation syndrome: one-year results of the European STARR Registry.Dis Colon Rectum, 2009, 52(7): 1205-1214.
[10]	Schwandner O, Fürst A, German STARR Registry Study Group.Assessing the safety, effectiveness, and quality of life after the STARR procedure for obstructed defecation: results of the German STARR registry.Langenbecks Arch Surg, 2010, 395(5): 505-513.
[11]	Stuto A, Renzi A, Carriero A, et al.Stapled trans-anal rectal resection(STARR)in the surgical treatment of the obstructed defecation syndrome: results of STARR Italian Registry.Surg Innov, 2011, 18(3): 248-253.
[12]	Lehur PA, Stuto A, ODS II Study Group, et al.Outcomes of stapled transanal rectal resection vs.biofeedback for the treatment of outlet obstruction associated with rectal intussusception and rectocele: a multicenter, randomized, controlled trial.Dis Colon Rectum, 2008, 51(11): 1611-1618.
[13]	Ribaric G, D'Hoore A, TRANSTAR Registry Study Group, et al.STARR with CONTOUR® TRANSTAR™ device for obstructed defecation syndrome: one-year real-world outcomes of the European TRANSTAR registry.Int J Colorectal Dis, 2014, 29(5): 611-622.
[14]	Boccasanta P, Venturi M, Roviaro G. What is the benefit of a new stapler device in the surgical treatment of obstructed defecation? Three-year outcomes from a randomized controlled trial.Dis Colon Rectum, 2011, 54(1): 77-84.
[15]	Lin HC, Ren DL.36mm tissue selecting technique: a simple and effective technique for patients with large prolapsing hemorrhoids and obstructed constipation syndrome.April 27-May 1, 2013.The American Society of Colon and Rectal Surgeons(ASCRS). Phoenix, USA.
[16]	Naldini G, Martellucci J, Rea R, et al.Tailored prolapse surgery for the treatment of haemorrhoids and obstructed defecation syndrome with a new dedicated device: TST STARR Plus.Int J Colorectal Dis, 2014, 29(5): 623-629.

Please choose a citation manager

Content to export