The European journal of surgery = Acta chirurgica · 1999
Whole gut transit is prolonged after Ripstein rectopexy.
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Schultz I, Mellgren A, Oberg M, Dolk A, Holmström B
Аннотация
OBJECTIVE: To find out if there are changes in transit time after Ripstein rectopexy and whether measurement of whole gut transit time preoperatively can predict postoperative constipation.
DESIGN: Prospective open study.
SETTING: Teaching hospital, Sweden.
SUBJECTS: 30 patients undergoing Ripstein rectopexy for rectal prolapse (n = 17) or internal rectal intussusception (n = 13).
METHODS: Whole-gut transit studies and recording of symptoms of constipation preoperatively and postoperatively.
MAIN OUTCOME MEASURES: Constipation and retention of markers.
RESULTS: Significantly more markers were retained in postoperative compared with preoperative transit studies (p < 0.001). Constipation mainly presented as emptying difficulties and there was no increase in the total number of patients who reported emptying difficulties postoperatively. There was a weak but significant correlation between retention of markers preoperatively and postoperative emptying difficulties (p < 0.05).
CONCLUSION: Whole gut transit was prolonged after Ripstein rectopexy. Preoperative retention of markers indicated an increased risk of postoperative constipation.
DESIGN: Prospective open study.
SETTING: Teaching hospital, Sweden.
SUBJECTS: 30 patients undergoing Ripstein rectopexy for rectal prolapse (n = 17) or internal rectal intussusception (n = 13).
METHODS: Whole-gut transit studies and recording of symptoms of constipation preoperatively and postoperatively.
MAIN OUTCOME MEASURES: Constipation and retention of markers.
RESULTS: Significantly more markers were retained in postoperative compared with preoperative transit studies (p < 0.001). Constipation mainly presented as emptying difficulties and there was no increase in the total number of patients who reported emptying difficulties postoperatively. There was a weak but significant correlation between retention of markers preoperatively and postoperative emptying difficulties (p < 0.05).
CONCLUSION: Whole gut transit was prolonged after Ripstein rectopexy. Preoperative retention of markers indicated an increased risk of postoperative constipation.