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dc.contributor.authorIp, Julian CY
dc.contributor.authorChua, Terence C
dc.contributor.authorWong, Shing W
dc.contributor.authorKrishnan, Surya
dc.date.accessioned2020-05-05T00:17:53Z
dc.date.available2020-05-05T00:17:53Z
dc.date.issued2020
dc.identifier.issn0004-8666
dc.identifier.doi10.1111/ajo.13145
dc.identifier.urihttp://hdl.handle.net/10072/393570
dc.description.abstractBackground: Gastrointestinal symptoms occur with deeply infiltrating endometriosis (DIE) of the rectum. Aims: To explore the medium-term gastrointestinal functional outcomes after rectal disc resection for endometriosis. Methods: All women undergoing laparoscopy for stage IV endometriosis at a tertiary referral hospital between November 2016 and January 2018 and had evidence of DIE of the rectum were included. Low anterior resection syndrome (LARS) score was measured using a validated questionnaire. Results: Thirty-six women formed the cohort of the study. The mean age was 37 years (range 20–72 years). All women underwent a laparoscopic anterior rectal disc resection for DIE. The response rate was 100%. There was an increase in the percentage of patients having no LARS postoperatively compared to preoperatively (an increase of 78–83%). There was a reduction in LARS scores postoperatively observed in 18 patients (50%) and the prevalence of major LARS decreased postoperatively from 10% to 1%. Comparison of individual symptoms revealed a significant improvement in postoperative stool frequency scores (P = 0.02). Multivariate analysis using logistic regression analysis demonstrated that reduction in postoperative stool frequency scores remained an independent factor (P = 0.008). Conclusion: Rectal disc resection is feasible and safe, achieving observable improvements in stool frequency in patients with rectal DIE.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley
dc.relation.ispartofjournalAustralian and New Zealand Journal of Obstetrics and Gynaecology
dc.subject.fieldofresearchPaediatrics
dc.subject.fieldofresearchReproductive medicine
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchcode3213
dc.subject.fieldofresearchcode3215
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.keywordsdeep infiltrating endometriosis
dc.subject.keywordsendometriosis
dc.subject.keywordsrectum
dc.subject.keywordssurgery
dc.titleRectal disc resection improves stool frequency in patients with deep infiltrating endometriosis: A prospective study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationIp, JCY; Chua, TC; Wong, SW; Krishnan, S, Rectal disc resection improves stool frequency in patients with deep infiltrating endometriosis: A prospective study, Australian and New Zealand Journal of Obstetrics and Gynaecology, 2020
dcterms.dateAccepted2020-02-03
dc.date.updated2020-05-05T00:16:48Z
gro.description.notepublicThis publication was entered as an advanced online version.
gro.hasfulltextNo Full Text
gro.griffith.authorChua, Terence


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