Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
International Journal of Colorectal Disease
Published in: International Journal of Colorectal Disease 6/2011

01-06-2011 | Original Article

Clinical outcomes of stapled transanal rectal resection (STARR) for obstructed defecation syndrome (ODS): a single institution experience in South Korea

Authors: Kee Ho Song, Du Seok Lee, Jong Keun Shin, So Jin Lee, Jae Bum Lee, Eui Gon Yook, Doo Han Lee, Do Sun Kim

Published in: International Journal of Colorectal Disease | Issue 6/2011

Login to get access

Abstract

Purpose

The purpose of this study was to assess both the short- and long-term functional outcomes of stapled transanal rectal resection (STARR) in ODS patients.

Patients and methods

We performed a retrospective review of data that were collected from January 2005 to October 2008. Between January 2005 to June 2006, 58 patients who underwent STARR were enrolled in this study. Follow-up was scheduled for 3 months and 1 year after surgery with the Cleveland Clinic Florida (CCF) constipation score and satisfaction grade. To evaluate the long-term functional outcome, we interviewed the patients by telephone using questionnaires for the CCF score and satisfaction grade on October 2008.

Results

The median follow-up period was 34 months (range, 27–46 months). The mean age and sex ratio were 54 years (range, 19–85 years) and 8:50 (M/F). The mean CCF constipation scores were 17.6 before the surgery, 9.5 at 3 months, 9.6 at 12 months, and 10.3 at the time of the latest interview. The satisfaction grade, which was rated as excellent and good by 63.4% of the patients at the time of the latest interview, was worse than that at 3 months (37.8%). Among the cases of the excellent group (19 cases) at postoperative 3 months, 13 cases (68.4%) were classified as excellent or good at the time of the latest interview.

Conclusion

The STARR is a safe and effective surgical procedure for restoring the anatomy and function in ODS patients. Strict selection of patients is needed in enhancing and maintaining the patients' satisfaction after the procedure.
Literature
1.
Pucciani F, Rottoli ML, Bologna A, Buri M, Cianchi F, Pagliai P et al (1996) Anterior rectocele and anorectal dysfunction. Int J Colorectal Dis 11:1–9PubMedCrossRef
2.
Dvorkin LS, Knowles CH, Scott SM, Williams NS, Lunniss PJ (2005) Rectal intussusception: characterization of symptomatology. Dis Colon Rectum 48:824–831PubMedCrossRef
3.
Maglinte DD, Kelvin FM, Fitzgerald K, Hale DS, Benson JT (1999) Association of compartment defects in pelvic floor dysfunction. Am J Roentgenol 172:439–444
4.
Brieger GM, Kordan AR, Houghton CR (1996) Abdominoperineal repair of pulsion enterocele. J Obstet Gynecol Res 22:151–156
5.
Bruch HP, Herold A, Schiedeck T, Schwandner O (1999) Laparoscopic surgery for rectal prolapse and outlet obstruction. Dis Colon Rectum 42:1189–1195PubMedCrossRef
6.
Orrom WJ, Bartolo DC, Miller R, Mortensen NJ, Roe AM (1991) Rectopexy is ineffective treatment of obstructed defecation. Dis Colon Rectum 34:41–46PubMedCrossRef
7.
Duthie GS, Bartolo DC (1992) Abdominal rectopexy for rectal prolapse: a comparison of technique. Br J Surg 79:107–113PubMedCrossRef
8.
Zacharin FR, Hamilton NT (1980) Pulsion enterocele: long-term results of an abdominoperineal technique. Obstet Gynecol 2:141–148
9.
Boccasanta P, Rosati R, Venturi M, Cioffi U, De Simone M, Montorsi M et al (1999) Surgical treatment of complete rectal prolapse: results of abdominal and perineal procedures. J Laparoendosc Adv Surg Tech 9:235–238CrossRef
10.
Huah SE, Lee KW, Houghton CR, Korda AR (2000) The management of pulsion rectocele with Zacharin abdominoperineal technique (and mesh sacrocolpopexy). ANZ J Obstet Gynaecol 40:303–307
11.
Lieberman H, Hughes C, Dippolito A (2000) Evaluation and outcome of the Delorme procedure in the treatment of rectal outlet obstruction. Dis Colon Rectum 43:188–192CrossRef
12.
Sielezneff I, Malouf A, Cesari J, Brunet C, Sarles JC, Sastre B (1999) Selection criteria for internal rectal prolapse repair by Delorme’s transrectal excision. Dis Colon Rectum 42:367–373PubMedCrossRef
13.
Boccasanta P, Venturi M, Salamina G, Cesana BM, Bernasconi F, Roviaro G (2004) New trends in the surgical treatment of outlet obstruction: clinical and functional results of two novel transanal stapled techniques from a randomised controlled trial. Int J Colorectal Dis 19(4):359–39PubMedCrossRef
14.
Pechlivanides G, Tsiaoussis J, Athanasakis E, Zervakis N, Gouvas N, Zacharioudakis G, Xynos E (2007) Stapled transanal rectal resection (STARR) to reverse the anatomic disorders of pelvic floor dyssynergia. World J Surg 31:1329–1335PubMedCrossRef
15.
Frascio M, Stabilini C, Ricci B, Marino P, Fornaro R, De Salvo L, Mandolfino F, Lazzara F, Gianetta E (2008) Stapled transanal rectal resection for outlet obstruction syndrome: results and follow-up. World J Surg 32:1110–1115PubMedCrossRef
16.
Corman ML, Carriero A, Hager T, Herold A, Jayne DG, Lehur PA et al (2006) Consensus conference on the stapled transanal rectal resection (STARR) for disordered defecation. Colorectal Dis 8:98–101PubMedCrossRef
17.
Agachan F, Chen T, Pfeifer J, Reissman P, Wexner SD (1996) A constipation scoring system to simplify evaluation and management of constipated patients. Dis Colon Rectum 39:681–685PubMedCrossRef
18.
Longo A (2004) Obstructed defecation because of rectal pathologies. Novel surgical treatment: stapled transanal resection (STARR). Annual Cleveland Clinic Florida Colorectal Disease Symposium.
19.
Van Dam JH, Schouten WR, Ginai AZ, Huisman WM, Hop WC (1996) The impact of anismus on the clinical outcome of rectocele repair. Int J Colorectal Dis 11:238–242PubMedCrossRef
20.
Pescatori M, Zbar AP (2009) Reintervention after complicated or failed STARR procedure. Int J Colorectal Dis 24:87–95PubMedCrossRef
21.
Felt-Bersma RJ, Poen AC, Cuesta MA, Meuwissen SG (1997) Anal sensitivity test: what does it measure and do we need it? Cause or derivative of anorectal complaints. Dis Colon Rectum 40:811–816PubMedCrossRef
22.
Ho YH, Tsang C, Tang CL, Nyam D, Eu KW, Seow-Choen F (2000) Anal sphincter injuries from stapling instruments introduced transanally: randomized, controlled study with endoanal ultrasound and anorectal manometry. Dis Colon Rectum 43:169–173PubMedCrossRef
23.
George BD, Shetty D, Lindsey I, Mortensen NJ, Warren BF (2002) Histopathology of stapled haemorrhoidectomy specimens: a cautionary note. Colorectal Dis 4:473–476PubMedCrossRef
24.
Altomare DF, Rinaldi M, Sallustio PL, Martino P, De Fazio M, Memeo V (2001) Long-term effects of stapled haemorrhoidectomy on internal anal function and sensitivity. Br J Surg 88:1487–1491PubMedCrossRef
25.
Cheetham MJ, Mortensen NJ, Nystrom PO, Kamm MA, Phillips RK (2000) Persistent pain and faecal urgency after stapled haemorrhoidectomy. Lancet 356:730–733PubMedCrossRef
26.
Renzi A, Izzo D, Di sarno G, Izzo G, Di Martino N (2006) Stapled transanal resection to treat obstructed defecation caused by rectal intussusception and rectocele. Int J Colorectal Dis 21:661–667PubMedCrossRef
27.
Drossman DA (2006) The functional gastrointestinal disorders and the Rome III process. Gastroenterology 130:1377–1390PubMedCrossRef
28.
Renzi A, Talnento P, Giardiello C, Angelone G, Izzo D, Di sarno G (2008) Stapled trans-anal resection (STARR) by a new dedicated device for the surgical treatment of obstructed defaecation syndrome caused by rectal intussusception and rectocele. Int J Colorectal Dis 23:999–1005PubMedCrossRef
Metadata
Title
Clinical outcomes of stapled transanal rectal resection (STARR) for obstructed defecation syndrome (ODS): a single institution experience in South Korea
Authors
Kee Ho Song
Du Seok Lee
Jong Keun Shin
So Jin Lee
Jae Bum Lee
Eui Gon Yook
Doo Han Lee
Do Sun Kim
Publication date
01-06-2011
Publisher
Springer-Verlag
Published in
International Journal of Colorectal Disease / Issue 6/2011
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-011-1147-2

Other articles of this Issue 6/2011

International Journal of Colorectal Disease 6/2011 Go to the issue

Original Article

Collagen fleeces do not improve colonic anastomotic strength but increase bowel obstructions in an experimental rat model

Original Article

Double-contrast micro-CT colonoscopy in live mice

Letter to the Editor

Port-site recurrence after laparoscopy-assisted low anterior resection: the sign of peritoneal dissemination

Original Article

NOD2 exonic variations in Iranian Crohn's disease patients

Letter to the Editor

Anal region: an unusual location of granular cell tumour

Original Article

Preoperative risk evaluation of postoperative morbidity in IBD patients—impact of the POSSUM score