The Experts below are selected from a list of 324 Experts worldwide ranked by ideXlab platform
Miguel A. Cuesta - One of the best experts on this subject based on the ideXlab platform.
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Rectal Prolapse, Rectal INTUSSUSCEPTION, RECTOCELE, AND SOLITARY Rectal ULCER SYNDROME
Gastroenterology Clinics of North America, 2001Co-Authors: Richelle J. F. Felt-bersma, Miguel A. CuestaAbstract:Rectal Prolapse, intussusception (occult Rectal Prolapse), solitary Rectal ulcer syndrome (SRUS), and rectocele have many features in common and may share a common pathogenesis. Constipation, especially an evacuation disorder, often underlies these abnormalities. Chronic straining may cause intussusception of the Rectal mucosa, which in turn can develop into a full-thickness Rectal Prolapse. A Prolapse may cause excessive stitching of the Rectal mucosa and cause mucosal injury and ultimately a Rectal ulcer. Chronic straining may induce a rectocele.
G. Basdanis - One of the best experts on this subject based on the ideXlab platform.
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Surgical management of Rectal Prolapse
Techniques in Coloproctology, 2011Co-Authors: Antonios Michalopoulos, V. N. Papadopoulos, Stavros Panidis, Stylianos Apostolidis, Α. Mekras, Vassilis Duros, Aris Ioannidis, George Stavrou, G. BasdanisAbstract:Purpose Rectal Prolapse is uncommon; however, the true incidence is unknown because of underreporting, especially in the elderly population. Full-thickness Rectal Prolapse, mucosal Prolapse and internal Prolapse are three different clinical entities, which are often combined and constitute Rectal Prolapse. The aim of the study is to present our experience in the surgical management of Rectal Prolapse. Methods In a 6-year period (2004–2010), 27 patients were surgically treated for Rectal Prolapse. The majority of patients were women (25 women, two men) and their mean age was 72.36 years. The operations performed were two Delorme’s procedures, five STARR (Stapled TransAnal Rectal Resection), 14 Wells procedures, two Wells combined with Thiersch, one Altemeier, one sigmoid resection combined with Wells and two Thiersch. Results An emergency sigmoidostomy was performed on a patient after Wells operation due to obstructive ileus. One death occurred on the 5th postoperative day due to pulmonary embolism. Two recurrences observed 8 months postoperatively, one in a patient after STARR operation and one in a patient after Thiersch technique. The great majority of patients are completely relieved of symptoms. Conclusions The application of different modalities in the treatment of Rectal Prolapse is attributed to the fact that cause, degree of Prolapse and symptoms, vary from one patient to another. Successful approach depends on many factors, including the status of a patient’s anal sphincter muscle before surgery, whether the Prolapse is internal or external and the overall condition of the patient.
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Surgical management of Rectal Prolapse.
Techniques in Coloproctology, 2011Co-Authors: Antonios Michalopoulos, V. N. Papadopoulos, Stavros Panidis, Stylianos Apostolidis, Α. Mekras, Vassilis Duros, Aris Ioannidis, George Stavrou, G. BasdanisAbstract:Purpose Rectal Prolapse is uncommon; however, the true incidence is unknown because of underreporting, especially in the elderly population. Full-thickness Rectal Prolapse, mucosal Prolapse and internal Prolapse are three different clinical entities, which are often combined and constitute Rectal Prolapse. The aim of the study is to present our experience in the surgical management of Rectal Prolapse.
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Surgical management of Rectal Prolapse.
Techniques in coloproctology, 2011Co-Authors: Antonios Michalopoulos, V. N. Papadopoulos, Stavros Panidis, Stylianos Apostolidis, Vassilis Duros, Aris Ioannidis, George Stavrou, Alpha Mekras, G. BasdanisAbstract:Rectal Prolapse is uncommon; however, the true incidence is unknown because of underreporting, especially in the elderly population. Full-thickness Rectal Prolapse, mucosal Prolapse and internal Prolapse are three different clinical entities, which are often combined and constitute Rectal Prolapse. The aim of the study is to present our experience in the surgical management of Rectal Prolapse. In a 6-year period (2004-2010), 27 patients were surgically treated for Rectal Prolapse. The majority of patients were women (25 women, two men) and their mean age was 72.36 years. The operations performed were two Delorme's procedures, five STARR (Stapled TransAnal Rectal Resection), 14 Wells procedures, two Wells combined with Thiersch, one Altemeier, one sigmoid resection combined with Wells and two Thiersch. An emergency sigmoidostomy was performed on a patient after Wells operation due to obstructive ileus. One death occurred on the 5th postoperative day due to pulmonary embolism. Two recurrences observed 8 months postoperatively, one in a patient after STARR operation and one in a patient after Thiersch technique. The great majority of patients are completely relieved of symptoms. The application of different modalities in the treatment of Rectal Prolapse is attributed to the fact that cause, degree of Prolapse and symptoms, vary from one patient to another. Successful approach depends on many factors, including the status of a patient's anal sphincter muscle before surgery, whether the Prolapse is internal or external and the overall condition of the patient.
Anders Dolk - One of the best experts on this subject based on the ideXlab platform.
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Internal Rectal intussusception seldom develops into total Rectal Prolapse
Diseases of The Colon & Rectum, 1997Co-Authors: Anders F. Mellgren, Inkeri Schultz, C. Johansson, Anders DolkAbstract:PURPOSE: This study was designed to analyze how often internal Rectal intussusception develops into total Rectal Prolapse. METHODS: Repeated investigations with defecography were performed in 312 patients because of persisting symptoms. In 79 patients who had a Rectal intussusception at the first defecography, results of the second defecography and the patients' records were studied. RESULTS: A total of 38 patients had not undergone any surgical treatment of Rectal intussusception or Rectal Prolapse between the first and second defecographies. One of these patients had a Rectal Prolapse at the second defecography, and another developed a clinical Prolapse after the second defecography. CONCLUSIONS: The present study demonstrates that the risk of developing a Rectal Prolapse in patients with Rectal intussusception is small. This risk should, therefore, not be used as an indication for surgery.
Richelle J. F. Felt-bersma - One of the best experts on this subject based on the ideXlab platform.
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Rectal Prolapse, Rectal INTUSSUSCEPTION, RECTOCELE, AND SOLITARY Rectal ULCER SYNDROME
Gastroenterology Clinics of North America, 2001Co-Authors: Richelle J. F. Felt-bersma, Miguel A. CuestaAbstract:Rectal Prolapse, intussusception (occult Rectal Prolapse), solitary Rectal ulcer syndrome (SRUS), and rectocele have many features in common and may share a common pathogenesis. Constipation, especially an evacuation disorder, often underlies these abnormalities. Chronic straining may cause intussusception of the Rectal mucosa, which in turn can develop into a full-thickness Rectal Prolapse. A Prolapse may cause excessive stitching of the Rectal mucosa and cause mucosal injury and ultimately a Rectal ulcer. Chronic straining may induce a rectocele.
Antonios Michalopoulos - One of the best experts on this subject based on the ideXlab platform.
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Surgical management of Rectal Prolapse
Techniques in Coloproctology, 2011Co-Authors: Antonios Michalopoulos, V. N. Papadopoulos, Stavros Panidis, Stylianos Apostolidis, Α. Mekras, Vassilis Duros, Aris Ioannidis, George Stavrou, G. BasdanisAbstract:Purpose Rectal Prolapse is uncommon; however, the true incidence is unknown because of underreporting, especially in the elderly population. Full-thickness Rectal Prolapse, mucosal Prolapse and internal Prolapse are three different clinical entities, which are often combined and constitute Rectal Prolapse. The aim of the study is to present our experience in the surgical management of Rectal Prolapse. Methods In a 6-year period (2004–2010), 27 patients were surgically treated for Rectal Prolapse. The majority of patients were women (25 women, two men) and their mean age was 72.36 years. The operations performed were two Delorme’s procedures, five STARR (Stapled TransAnal Rectal Resection), 14 Wells procedures, two Wells combined with Thiersch, one Altemeier, one sigmoid resection combined with Wells and two Thiersch. Results An emergency sigmoidostomy was performed on a patient after Wells operation due to obstructive ileus. One death occurred on the 5th postoperative day due to pulmonary embolism. Two recurrences observed 8 months postoperatively, one in a patient after STARR operation and one in a patient after Thiersch technique. The great majority of patients are completely relieved of symptoms. Conclusions The application of different modalities in the treatment of Rectal Prolapse is attributed to the fact that cause, degree of Prolapse and symptoms, vary from one patient to another. Successful approach depends on many factors, including the status of a patient’s anal sphincter muscle before surgery, whether the Prolapse is internal or external and the overall condition of the patient.
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Surgical management of Rectal Prolapse.
Techniques in Coloproctology, 2011Co-Authors: Antonios Michalopoulos, V. N. Papadopoulos, Stavros Panidis, Stylianos Apostolidis, Α. Mekras, Vassilis Duros, Aris Ioannidis, George Stavrou, G. BasdanisAbstract:Purpose Rectal Prolapse is uncommon; however, the true incidence is unknown because of underreporting, especially in the elderly population. Full-thickness Rectal Prolapse, mucosal Prolapse and internal Prolapse are three different clinical entities, which are often combined and constitute Rectal Prolapse. The aim of the study is to present our experience in the surgical management of Rectal Prolapse.
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Surgical management of Rectal Prolapse.
Techniques in coloproctology, 2011Co-Authors: Antonios Michalopoulos, V. N. Papadopoulos, Stavros Panidis, Stylianos Apostolidis, Vassilis Duros, Aris Ioannidis, George Stavrou, Alpha Mekras, G. BasdanisAbstract:Rectal Prolapse is uncommon; however, the true incidence is unknown because of underreporting, especially in the elderly population. Full-thickness Rectal Prolapse, mucosal Prolapse and internal Prolapse are three different clinical entities, which are often combined and constitute Rectal Prolapse. The aim of the study is to present our experience in the surgical management of Rectal Prolapse. In a 6-year period (2004-2010), 27 patients were surgically treated for Rectal Prolapse. The majority of patients were women (25 women, two men) and their mean age was 72.36 years. The operations performed were two Delorme's procedures, five STARR (Stapled TransAnal Rectal Resection), 14 Wells procedures, two Wells combined with Thiersch, one Altemeier, one sigmoid resection combined with Wells and two Thiersch. An emergency sigmoidostomy was performed on a patient after Wells operation due to obstructive ileus. One death occurred on the 5th postoperative day due to pulmonary embolism. Two recurrences observed 8 months postoperatively, one in a patient after STARR operation and one in a patient after Thiersch technique. The great majority of patients are completely relieved of symptoms. The application of different modalities in the treatment of Rectal Prolapse is attributed to the fact that cause, degree of Prolapse and symptoms, vary from one patient to another. Successful approach depends on many factors, including the status of a patient's anal sphincter muscle before surgery, whether the Prolapse is internal or external and the overall condition of the patient.