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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), pp. 105-109. (doi:10.1177/1553350608316684).

Record type: Article


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.

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Published date: June 2008
Keywords: patient, treatment, starr, head, guidelines, rectocele, transanal rectal resection, time, resolution, algorithm, internal rectal prolapse, obstructive defecation syndrome


Local EPrints ID: 62920
ISSN: 1553-3506
PURE UUID: 2d9d0138-2d36-4583-9b13-ec3c38eb1edc

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Date deposited: 08 Apr 2009
Last modified: 17 Jul 2017 14:19

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Author: Oliver Schwandner
Author: Angelo Stuto
Author: David Jayne
Author: Leonardo Lenisa
Author: François Pigot
Author: Jean-Jacques Tuech
Author: Roland Scherer
Author: Karen Nugent
Author: Fabrice Corbisier
Author: Eloy E. Basany
Author: Franc H. Hetzer

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