Rectal prolapse and intussusception

Gastroenterol Clin North Am. 2013 Dec;42(4):837-61. doi: 10.1016/j.gtc.2013.08.002. Epub 2013 Nov 6.

Abstract

Rectal prolapse continues to be problematic for both patients and surgeons alike, in part because of increased recurrence rates despite several well-described operations. Patients should be aware that although the prolapse will resolve with operative therapy, functional results may continue to be problematic. This article describes the recommended evaluation, role of adjunctive testing, and outcomes associated with both perineal and abdominal approaches.

Keywords: Altemeier procedure; Delorme procedure; Internal intussusception; Perineal rectosigmoidectomy; Rectal prolapse; Rectopexy; Resection rectopexy; STARR.

Publication types

  • Review

MeSH terms

  • Colonoscopy
  • Humans
  • Intussusception / diagnosis
  • Intussusception / surgery*
  • Magnetic Resonance Imaging
  • Manometry
  • Pudendal Nerve
  • Rectal Diseases / diagnosis
  • Rectal Diseases / surgery*
  • Rectal Prolapse / diagnosis
  • Rectal Prolapse / surgery*
  • Rectum / surgery*
  • Surgical Mesh