{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T23:46:46Z","timestamp":1778629606990,"version":"3.51.4"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2008,10,21]],"date-time":"2008-10-21T00:00:00Z","timestamp":1224547200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,11,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This prospective multicentre study assessed the safety and effectiveness of stapled transanal rectal resection (STARR) for treatment of obstructive defaecation syndrome (ODS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between February 2001 and June 2006, 104 patients diagnosed with ODS were treated with STARR. Follow-up was scheduled for 1, 3 and 6 months after surgery, and annually thereafter. Variables related to the patient, surgical technique and outcome were analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean operating time was 46\u00b77 min. Haemorrhage at the staple line occurred in 55 patients (52\u00b79 per cent). Three patients required surgical revision in the first 48 h owing to persistent bleeding. The median postoperative pain score was 2\u00b74 on a scale from 1 to 10. Mean hospital stay was 2\u00b72 days. The mean constipation score improved from 13\u00b75 before surgery to 5\u00b71 at 1-year follow-up (P = 0\u00b7006). Twenty-three patients reported faecal incontinence at 4 weeks after surgery, but only nine still had minor residual incontinence by 1 year. At a median follow-up of 26 (range 12\u201372) months, ODS had recurred or persisted radiologically and\/or clinically in 11 patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>STARR is associated with low morbidity and a short hospital stay, and is an effective alternative treatment for ODS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bjs.6328","type":"journal-article","created":{"date-parts":[[2008,10,21]],"date-time":"2008-10-21T11:03:21Z","timestamp":1224587001000},"page":"1521-1527","source":"Crossref","is-referenced-by-count":45,"title":["Prospective multicentre clinical trial of stapled transanal rectal resection for obstructive defaecation syndrome"],"prefix":"10.1093","volume":"95","author":[{"given":"A","family":"Arroyo","sequence":"first","affiliation":[{"name":"Coloproctology Unit, Hospital General Universitario Elche, Elche, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F X","family":"Gonz\u00e1lez-Argent\u00e9","sequence":"additional","affiliation":[{"name":"General Surgery Unit, Hospital Clinic Barcelona, Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Garc\u00eda-Domingo","sequence":"additional","affiliation":[{"name":"Coloproctology Unit, M\u00fatua de Terrassa, Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Espin-Basany","sequence":"additional","affiliation":[{"name":"Coloproctology Unit, Hospital Vall d'Hebr\u00f3n, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"De-la-Portilla","sequence":"additional","affiliation":[{"name":"Coloproctology Unit, Hospital Juan Ram\u00f3n Jim\u00e9nez, Huelva, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"P\u00e9rez-Vicente","sequence":"additional","affiliation":[{"name":"Coloproctology Unit, Hospital General Universitario Elche, Elche, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Calpena","sequence":"additional","affiliation":[{"name":"Coloproctology Unit, Hospital General Universitario Elche, Elche, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2008,10,21]]},"reference":[{"key":"2021070911091903100_bib1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/BF00418847","article-title":"Anterior rectocele and anorectal dysfunction","volume":"11","author":"Pucciani","year":"1996","journal-title":"Int J Colorectal Dis"},{"key":"2021070911091903100_bib2","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1007\/s10350-004-0834-2","article-title":"Rectal intussusception: characterization of 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