Decision-making algorithm for the STARR procedure in obstructed defecation syndrome: position statement of the group of STARR pioneers
Schwandner, Oliver, Stuto, Angelo, Jayne, David, Lenisa, Leonardo, Pigot, François, Tuech, Jean-Jacques, Scherer, Roland, Nugent, Karen, Corbisier, Fabrice, Basany, Eloy E. and Hetzer, Franc H. (2008) Decision-making algorithm for the STARR procedure in obstructed defecation syndrome: position statement of the group of STARR pioneers. Surgical Innovation, 15, (2), 105-109. (doi:10.1177/1553350608316684).
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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.
|Keywords:||patient, treatment, starr, head, guidelines, rectocele, transanal rectal resection, time, resolution, algorithm, internal rectal prolapse, obstructive defecation syndrome|
|Subjects:||R Medicine > RD Surgery|
|Divisions:||University Structure - Pre August 2011 > School of Medicine > Cancer Sciences
|Date Deposited:||08 Apr 2009|
|Last Modified:||01 Jun 2011 05:06|
|RDF:||RDF+N-Triples, RDF+N3, RDF+XML, Browse.|
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