{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T20:34:22Z","timestamp":1779136462770,"version":"3.51.4"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[1995,3,1]],"date-time":"1995-03-01T00:00:00Z","timestamp":794016000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100009491","name":"St Mark's Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009491","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1995,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Rectopexy is advocated as treatment for solitary rectal ulcer syndrome despite variable outcome. Sixteen patients with this condition, who remained symptomatic after surgery, were examined before and after operation by evacuation proctography and compared with a matched group of seven patients whose symptoms had been relieved, to investigate the effect of rectopexy on rectal configuration or emptying, or both, and to identify any preoperative factor associated with a good outcome. Rectal prolapse, demonstrated in 19 of 23 patients before operation (internal in 12, external in seven), was seen in only one patient after surgery. The rectal axis became more vertical at rest (median 44\u00b0 before operation versus 35\u00b0 after surgery, P = 0.006) and on evacuation (median 38\u00b0 versus 31\u00b0, P = 0.023). Preoperative evacuation time was increased in patients with poor outcome (median (range) 22 (8\u201360) s versus 10 (5\u201315) s, P = 0.008). Rectopexy successfully treats rectal prolapse in patients with solitary rectal ulcer syndrome and alters rectal configuration. These features, however, are unrelated to outcome. Prolonged preoperative evacuation time, suggesting a defaecatory disorder, may predict poor symptomatic outcome.<\/jats:p>","DOI":"10.1002\/bjs.1800820309","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T21:36:09Z","timestamp":1172957769000},"page":"314-317","source":"Crossref","is-referenced-by-count":44,"title":["Proctographic changes after rectopexy for solitary rectal ulcer syndrome and preoperative predictive factors for a successful outcome"],"prefix":"10.1093","volume":"82","author":[{"given":"S","family":"Halligan","sequence":"first","affiliation":[{"name":"Department of Radiology, St Mark's Hospital , City Road, London EC IV2PS,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R J","family":"Nicholls","sequence":"additional","affiliation":[{"name":"Department of Surgery, St Mark's Hospital , City Road, London EC IV2PS,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C I","family":"Bartram","sequence":"additional","affiliation":[{"name":"Department of Radiology, St Mark's Hospital , City Road, London EC IV2PS,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1995,3,1]]},"reference":[{"key":"2024092814264807200_bib1","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1007\/BF02555397","article-title":"Diagnosis of functional disorders of defecation causing the solitary rectal ulcer syndrome","volume":"29","author":"Kuijpers","year":"1986","journal-title":"Dis Colon Rectum"},{"key":"2024092814264807200_bib2","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1002\/bjs.1800681021","article-title":"Solitary rectal ulcer syndrome in Northern Ireland 1971\u20131980","volume":"68","author":"Martin","year":"1981","journal-title":"Br J Surg"},{"key":"2024092814264807200_bib3","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1007\/BF02252991","article-title":"Internal rectal intussusception: results of surgical repair","volume":"35","author":"Christiansen","year":"1992","journal-title":"Dis Colon Rectum"},{"key":"2024092814264807200_bib4","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1007\/BF01887845","article-title":"Defecography: 1. 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