{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T13:53:10Z","timestamp":1787061190510,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2010,6,9]],"date-time":"2010-06-09T00:00:00Z","timestamp":1276041600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2010,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The aim of this study was to assess both short and long\u2010term functional outcomes and the quality of life of patients treated with stapled transanal rectal resection (STARR) for obstructed defecation syndrome (ODS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Forty\u2010six patients with ODS as a result of rectocele and\/or rectal intussusceptions were treated with STARR. Data collected included demographics, OR time, pain score using a visual analog scale (VAS), and complications. The study included defecographic assessment and anal manometry [urge\u2010to\u2010defecate volume (UTDV) and maximum tolerable volume (MTV)], both done preoperatively and 1 year postoperatively. A modified obstructed\u2010defecation syndrome questionnaire (MODS), constipation quality of life (PAC\u2010QOL) score, and CCF continence score were all recorded preoperatively and every 6\u00a0months during follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean age of the patients was 48.4 years. Forty\u2010five patients had mild postoperative pain (VAS = 1\u20132). Only one male patient had severe pain (VAS = 7). Three patients developed stenosis at the staple line 6\u00a0months after surgery and were dilated manually. Follow\u2010up ranged from 18 to 48\u00a0months and the median follow\u2010up was 42\u00a0months. The recurrence rate was 6.5% after 18\u00a0months, 10.8% after 36\u00a0months, and 13% after 42\u00a0months. Significant reduction in MTV and UTDV was recorded. MODS and PAC\u2010QOL showed significant improvement after 6\u00a0months; this improvement was maintained for 18\u00a0months and then there was a rapid decline until the end of the follow\u2010up period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>STARR is a safe surgical procedure that effectively restores the anatomy and function of the anorectum in patients with ODS. This correction improves functional and QOL scores; however, a high rate of symptomatic recurrence and QOL score decline are expected after 18\u00a0months.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00268-010-0638-6","type":"journal-article","created":{"date-parts":[[2010,6,8]],"date-time":"2010-06-08T10:18:41Z","timestamp":1275992321000},"page":"2191-2196","source":"Crossref","is-referenced-by-count":66,"title":["Disappointing Long\u2010Term Outcomes After Stapled Transanal Rectal Resection for Obstructed Defecation"],"prefix":"10.1002","volume":"34","author":[{"given":"Khaled M.","family":"Madbouly","sequence":"first","affiliation":[{"name":"Department of Surgery University of Alexandria El Raml Station Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled S.","family":"Abbas","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Alexandria El Raml Station Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed M.","family":"Hussein","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Alexandria El Raml Station Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,6,9]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350\u2010004\u20100834\u20102"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350\u2010004\u20100582\u20103"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463\u20101318.2006.01138.x"},{"key":"e_1_2_6_5_2","unstructured":"LongoA(2004)Obstructed defecation because of rectal pathologies. Novel surgical treatment: stapled transanal rectal resection (STARR). Syllabus 15: annual colorectal disease symposium"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10151\u2010005\u20100197\u20102"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010008\u20109540\u2010x"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181a9120f"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1463\u20101318.2003.00497.x"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800830421"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1080\/00365520510012208"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s003840050218"},{"key":"e_1_2_6_13_2","first-page":"188","article-title":"Rectoceles: value of videodefecography in selection of treatment policy","volume":"40","author":"Marti MC","year":"1999","journal-title":"Colorectal Dis"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02053850"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800840133"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02236738"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384\u2010003\u20100572\u20102"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605\u2010007\u20100105\u20103"},{"issue":"2","key":"e_1_2_6_19_2","first-page":"243","article-title":"Stapled transanal rectal resection (STARR) in the treatment of rectocele: personal experience","volume":"60","author":"Guarnieri A","year":"2008","journal-title":"Chir Ital"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010007\u20109021\u20107"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010005\u20100004\u20106"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10151\u2010003\u20100026\u20104"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2008.11.040"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e31819edbb1"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350\u2010008\u20109378\u20101"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2006.09.017"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-010-0638-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-010-0638-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-010-0638-6","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T15:31:55Z","timestamp":1704987115000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-010-0638-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,6,9]]},"references-count":25,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2010,9]]}},"alternative-id":["10.1007\/s00268-010-0638-6"],"URL":"https:\/\/doi.org\/10.1007\/s00268-010-0638-6","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,6,9]]}}}