Purpose: This study was designed to evaluate the safety and efficacy of Stapled Trans-Anal Rectal Resection (STARR) in the treatment of Obstructed Defecation Syndrome ODS by the analysis of the data collected in the STARR Italian Registry (SIR) with a special emphasis on the analysis of symptoms and quality of life. Methods: Collected data included, preoperative tests findings, and the evaluation of symptoms; the latter was obtained by using dedicated tools such as the Obstructed Defecation Syndrome Score (ODS-S), the Severity Symptom Score (SSS), and the Continence Grading Scale (CGS). Data on the quality of life were collected by Patient Assessment of Constipation Quality of Life (PAC-QoL) and the Euro Quality of Life-5 Domains Visual Analogue Scale (EQ-5D VAS). The evaluation of the symptoms and the quality of life was repeated 6 and 12 months after surgery. Results: The SIR had collected data on 2171 patients (1653 females, 76.1%; mean age 56.2years; range 20-96 years). A significant improvement (P <.0001) was seen between preoperative and 12-month follow-up in all scores: ODS-S (16.7 vs 5.0), SSS (15.6 vs 2.6), CGS (2.0 vs 0.7), PAC-QoL (51.0 vs 22.1), and EQ-5D VAS (57.5 vs 85.7). Complications included defecatory urgency (4.5% at 12 months), bleeding (3.6%), perineal sepsis (3.4%), and one case of rectovaginal fistula (0.05%). Conclusion: The analysis of SIR data seems to confirm that STARR is a safe and effective procedure in the treatment of ODS. However, further studies are required to evaluate the long-term stability of results. © 2011 SAGE Publications

Stuto, A., Renzi, A., Carriero, A., Gabrielli, F., Gianfreda, V., Villani, R., et al. (2011). Stapled Trans-Anal Rectal Resection (STARR) in the surgical treatment of the obstructed defecation syndrome: Results of STARR Italian Registry. SURGICAL INNOVATION, 18(3), 248-253 [10.1177/1553350610395035].

Stapled Trans-Anal Rectal Resection (STARR) in the surgical treatment of the obstructed defecation syndrome: Results of STARR Italian Registry

GABRIELLI, FRANCESCO;
2011

Abstract

Purpose: This study was designed to evaluate the safety and efficacy of Stapled Trans-Anal Rectal Resection (STARR) in the treatment of Obstructed Defecation Syndrome ODS by the analysis of the data collected in the STARR Italian Registry (SIR) with a special emphasis on the analysis of symptoms and quality of life. Methods: Collected data included, preoperative tests findings, and the evaluation of symptoms; the latter was obtained by using dedicated tools such as the Obstructed Defecation Syndrome Score (ODS-S), the Severity Symptom Score (SSS), and the Continence Grading Scale (CGS). Data on the quality of life were collected by Patient Assessment of Constipation Quality of Life (PAC-QoL) and the Euro Quality of Life-5 Domains Visual Analogue Scale (EQ-5D VAS). The evaluation of the symptoms and the quality of life was repeated 6 and 12 months after surgery. Results: The SIR had collected data on 2171 patients (1653 females, 76.1%; mean age 56.2years; range 20-96 years). A significant improvement (P <.0001) was seen between preoperative and 12-month follow-up in all scores: ODS-S (16.7 vs 5.0), SSS (15.6 vs 2.6), CGS (2.0 vs 0.7), PAC-QoL (51.0 vs 22.1), and EQ-5D VAS (57.5 vs 85.7). Complications included defecatory urgency (4.5% at 12 months), bleeding (3.6%), perineal sepsis (3.4%), and one case of rectovaginal fistula (0.05%). Conclusion: The analysis of SIR data seems to confirm that STARR is a safe and effective procedure in the treatment of ODS. However, further studies are required to evaluate the long-term stability of results. © 2011 SAGE Publications
Articolo in rivista - Articolo scientifico
STARR, OBSTRUCTED DEFECATION SYNDROME
defecography; obstructed defecation syndrome; rectal prolapse; rectocele; STARR; Adult; Aged; Aged, 80 and over; Constipation; Female; Humans; Intestinal Obstruction; Italy; Male; Middle Aged; Postoperative Complications; Prospective Studies; Rectal Diseases; Rectum; Registries; Risk Factors; Severity of Illness Index; Statistics, Nonparametric; Surveys and Questionnaires; Syndrome; Treatment Outcome; Quality of Life; Surgical Stapling; Surgery
English
2011
18
3
248
253
none
Stuto, A., Renzi, A., Carriero, A., Gabrielli, F., Gianfreda, V., Villani, R., et al. (2011). Stapled Trans-Anal Rectal Resection (STARR) in the surgical treatment of the obstructed defecation syndrome: Results of STARR Italian Registry. SURGICAL INNOVATION, 18(3), 248-253 [10.1177/1553350610395035].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/26772
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