dc.contributor.author | Ip, Julian CY | |
dc.contributor.author | Chua, Terence C | |
dc.contributor.author | Wong, Shing W | |
dc.contributor.author | Krishnan, Surya | |
dc.date.accessioned | 2020-05-05T00:17:53Z | |
dc.date.available | 2020-05-05T00:17:53Z | |
dc.date.issued | 2020 | |
dc.identifier.issn | 0004-8666 | |
dc.identifier.doi | 10.1111/ajo.13145 | |
dc.identifier.uri | http://hdl.handle.net/10072/393570 | |
dc.description.abstract | Background: 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.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Wiley | |
dc.relation.ispartofjournal | Australian and New Zealand Journal of Obstetrics and Gynaecology | |
dc.subject.fieldofresearch | Paediatrics | |
dc.subject.fieldofresearch | Reproductive medicine | |
dc.subject.fieldofresearch | Health services and systems | |
dc.subject.fieldofresearch | Public health | |
dc.subject.fieldofresearchcode | 3213 | |
dc.subject.fieldofresearchcode | 3215 | |
dc.subject.fieldofresearchcode | 4203 | |
dc.subject.fieldofresearchcode | 4206 | |
dc.subject.keywords | deep infiltrating endometriosis | |
dc.subject.keywords | endometriosis | |
dc.subject.keywords | rectum | |
dc.subject.keywords | surgery | |
dc.title | Rectal disc resection improves stool frequency in patients with deep infiltrating endometriosis: A prospective study | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dcterms.bibliographicCitation | Ip, 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.dateAccepted | 2020-02-03 | |
dc.date.updated | 2020-05-05T00:16:48Z | |
gro.description.notepublic | This publication was entered as an advanced online version. | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Chua, Terence | |