{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:19:55Z","timestamp":1787066395044,"version":"build-2736575974"},"reference-count":35,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,7,2]],"date-time":"2018-07-02T00:00:00Z","timestamp":1530489600000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>\n                      The long\u2010term efficacy of stapled transanal rectal resection (\n                      <jats:styled-content style=\"fixed-case\">STARR<\/jats:styled-content>\n                      ) for surgical management of obstructed defaecation syndrome (\n                      <jats:styled-content style=\"fixed-case\">ODS<\/jats:styled-content>\n                      ) has not been evaluated. Therefore, we investigated the long\u2010term efficacy (&gt;\u00a010\u00a0years) of\n                      <jats:styled-content style=\"fixed-case\">STARR<\/jats:styled-content>\n                      for treatment of\n                      <jats:styled-content style=\"fixed-case\">ODS<\/jats:styled-content>\n                      related to rectocele or rectal intussusception and the factors that predict treatment outcome.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      This study was a retrospective cohort analysis conducted on prospectively collected data. Seventy\u2010four consecutive patients who underwent\n                      <jats:styled-content style=\"fixed-case\">STARR<\/jats:styled-content>\n                      for\n                      <jats:styled-content style=\"fixed-case\">ODS<\/jats:styled-content>\n                      between January 2005 and December 2006 in two Italian hospitals were included.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seventy\u2010four patients [66 women; median age 61 (29\u201377) years] underwent\n                      <jats:styled-content style=\"fixed-case\">STARR<\/jats:styled-content>\n                      for\n                      <jats:styled-content style=\"fixed-case\">ODS<\/jats:styled-content>\n                      . No serious postoperative complications were recorded. Ten years postoperatively, 60 (81%) patients completed the expected follow\u2010up. Twenty\u2010three patients (38%) reported persistent perineal pain and 13 (22%) experienced the urge to defaecate.\n                      <jats:styled-content style=\"fixed-case\">ODS<\/jats:styled-content>\n                      symptoms recurred in 24 (40%) patients after 10\u00a0years. At the 10\u2010year follow\u2010up, 35% of patients were very satisfied and 28% would recommend\n                      <jats:styled-content style=\"fixed-case\">STARR<\/jats:styled-content>\n                      and undergo the same procedure again if necessary. In contrast, 21% of patients would not select\n                      <jats:styled-content style=\"fixed-case\">STARR<\/jats:styled-content>\n                      again. Previous uro\u2010gynaecological or rectal surgery and high constipation scores were identified as risk factors for recurrence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Stapled transanal rectal resection significantly improves the symptoms of\n                      <jats:styled-content style=\"fixed-case\">ODS<\/jats:styled-content>\n                      in the short term. In the long term\n                      <jats:styled-content style=\"fixed-case\">STARR<\/jats:styled-content>\n                      is less effective, however.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.14028","type":"journal-article","created":{"date-parts":[[2018,1,24]],"date-time":"2018-01-24T08:13:21Z","timestamp":1516781601000},"page":"614-622","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Clinical outcomes of stapled transanal rectal resection for obstructed defaecation syndrome at 10\u2010year follow\u2010up"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1137-4628","authenticated-orcid":false,"given":"M.","family":"Schiano di Visconte","sequence":"first","affiliation":[{"name":"Department of General Surgery Colorectal and Pelvic Floor Diseases Center, \u2018S. Maria dei Battuti\u2019 Hospital Conegliano Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Nicol\u00ec","sequence":"additional","affiliation":[{"name":"Department of General Surgery \u2018S. Valentino\u2019 Hospital Montebelluna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Pasquali","sequence":"additional","affiliation":[{"name":"Department of General Surgery Colorectal and Pelvic Floor Diseases Center, \u2018S. Maria dei Battuti\u2019 Hospital Conegliano Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Bellio","sequence":"additional","affiliation":[{"name":"Department of General Surgery Colorectal and Pelvic Floor Diseases Center, \u2018S. 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