Decision-making Algorithm for the STARR procedure in Obstructed Defecation Syndrome: Position statement of the group of STARR Pioneers
| Autor: | Jean-Jacques Tuech, Leonardo Lenisa, Fabrice Corbisier, Oliver Schwandner, Angelo Stuto, Franc H. Hetzer, David Jayne, François Pigot, Karen Nugent, Roland Scherer, Eloy E. Basany |
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| Rok vydání: | 2008 |
| Předmět: |
Position statement
medicine.medical_specialty Constipation Decision Support Techniques Surgical Stapling medicine Humans In patient Digestive System Surgical Procedures business.industry Patient Selection Rectocele Rectum Rectal Prolapse Syndrome medicine.disease Surgery Rectal prolapse Inclusion and exclusion criteria Female Objective evaluation Obstructed defecation medicine.symptom Obstructive defecation syndrome business Algorithm Algorithms |
| Zdroj: | Surgical Innovation. 15:105-109 |
| ISSN: | 1553-3514 1553-3506 |
| DOI: | 10.1177/1553350608316684 |
| Popis: | Internal rectal prolapse (rectal intussusception) and rectocele are frequent clinical findings in patients suffering from refractory constipation that may be best characterized as obstructive defecation syndrome. However, there is still no clear evidence whether the stapled transanal rectal resection (STARR) procedure provides a safe and effective surgical option for symptom resolution in patients with obstructive defecation syndrome, as evidence-based guidelines and functional long-term results are still missing. On the basis of the need for objective evaluation, a European group of experts was founded (Stapled Transanal Rectal Resection Pioneers). Derived from 2 meetings (October 26-28, 2006, Gouvieux, France and November 28-29, 2007, St Gallen, Switzerland) a concept for treatment options in patients suffering from obstructive defecation syndrome was developed, including a clear decision-making algorithm specifically focusing on the role of the stapled transanal rectal resection procedure based on clinical symptoms and dynamic imaging and inclusion and exclusion criteria for the stapled transanal rectal resection procedure. |
| Databáze: | OpenAIRE |
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