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ISRN Gastroenterology
Volume 2012 (2012), Article ID 824671, 7 pages
http://dx.doi.org/10.5402/2012/824671
Clinical Study

Long-Term Outcome after Resection Rectopexy for Internal Rectal Intussusception

1Department of Gastroenterological and Pediatric Surgery, Oslo University Hospital, Ulleval, Kirkeveien 166, 0407 Oslo, Norway
2Faculty of Medicine, University of Oslo, P.O. Box 1072 Blindern, 0316 Oslo, Norway
3Department of Radiology, Oslo University Hospital, Ulleval, Kirkeveien 166, 0407 Oslo, Norway

Received 19 November 2012; Accepted 7 December 2012

Academic Editors: U. Klinge and S. Mueller-Lissner

Copyright © 2012 Egil Johnson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background and Aims. The optimal treatment of patients with internal rectal intussusception (IRI) is unresolved. The aim was to study the short- and long-term outcome of resection rectopexy in these patients. Methods. An observational and mainly prospective study of 48 patients (44 women) with IRI who had ligament-preserving suture rectopexy by laparoscopic or open technique. Outcome measures were morbidity, scores for constipation and anal incontinence, patients’ report, and health-related quality of life (HRQoL). Results. From preoperatively to a median of 6 months and 76 months postoperatively, constipation scores were reduced from a mean of (95% CI) 13.20 (11.41 to 15.00) to 6.91 (5.29 to 8.54) and 6.35 (4.94 to 7.76) . The number of constipated patients was reduced from 35 to eleven and eight, respectively, and none became constipated. Nine of ten symptoms of constipation improved. Corresponding scores for anal incontinence were 4.7 (2.4–7.0), 4.0 (2.4–5.7), and 4.1 (2.3–5.8), respectively. HRQoL at long-term followup compared to the general Norwegian population was reduced in four out of eight dimensions concerning physical factors. The patient-reported outcome at short- and long-term followup was improved by 85.4% and 75.0%, respectively. Conclusions. Resection rectopexy for IRI improved the outcome. HRQoL was reduced compared with the general population.