alexa Risk Factors And Clinical Characteristics Of Rectal Pro
ISSN: 2167-0846

Journal of Pain & Relief
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Risk Factors And Clinical Characteristics Of Rectal Prolapse In Young Patients

Sun C, Hull T and Ozuner G*
Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio, USA
Corresponding Author : Gokhan Ozuner, MD
Department of Colorectal Surgery
Digestive Disease Institute
Cleveland Clinic, 9500 Euclid Avenue
A30, Cleveland, OH, 44195, USA
Tel: +12167046109
Email: [email protected]
Received February 09, 2014; Accepted May 08, 2014; Published May 10, 2014
Citation: Sun C, Hull T, Ozuner G (2014) Risk Factors and Clinical Characteristics of Rectal Prolapse in Young Patients. J Pain Relief 3:146. doi: 10.4172/2167-0846.1000146
Copyright: © 2014 Sun C, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

Background: Rectal prolapse is a relatively common condition in children and elderly patients but uncommon in young adults less than 30 years old. The aim of this study is to identify risk factors and characteristics of rectal prolapse in this group of young patients and determine surgical outcome. Methods: Adult patients younger than 30 years old with rectal prolapse treated surgically between September 1994 and September 2012 were identified from an IRB approved database. Demographics, risk factors, associated conditions, clinical characteristics, surgical management and follow-up were recorded.
Results: Forty-four (females 32) patients were identified with a mean age of 23 years old. Eighteen (41%) had chronic psychiatric diseases requiring treatment and these patients experienced significantly more constipation than non-psychiatric patients (83% vs. 50%; P=0.024). Thirteen (30%) patients had previous pelvic surgery. The most common symptom at presentation was a prolapsed rectum in 40 (91%) and hematochezia in 24 (55%). Twenty-four (55%) underwent a laparoscopic rectopexy, 14 (32%) open abdominal repair, and 6 (14%) had perineal surgery. The most common procedure was resection rectopexy in 21 (48%; 7 open; 14 laparoscopic). At a median follow-up of 11 (range 1-165) months, 6 patients (14%) developed a recurrence; 3 (13%) after laparoscopic, 2(14%) after open abdominal and 1(17%) after perineal surgery.
Conclusions: Medically induced constipation in psychiatric patients and possible pelvic floor weakness in patients with previous pelvic surgery may be contributing factors. Abdominal repair is the most common procedure with recurrence rates that are comparable to published literature for older individuals.

Keywords

Share This Page

Additional Info

Loading
Loading Please wait..
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords