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Journal of Gastrointestinal Surgery

, Volume 13, Issue 12, pp 2245–2251 | Cite as

Rectal Distensibility and Symptoms After Stapled and Milligan–Morgan Operation for Hemorrhoids

  • Maura CorsettiEmail author
  • Paola De Nardi
  • Salvatore Di Pietro
  • Sandro Passaretti
  • Pier Alberto Testoni
  • Carlo Staudacher
Original Article

Abstract

Introduction

In a previous uncontrolled study, a reduction of rectal distensibility and volume thresholds for sensations have been related to the occurrence of fecal urgency and/or increased stool frequency after stapled hemorrhoidopexy.

Aim of the study

The aim of this study was to compare rectal symptoms and sensory-motor function after stapled hemorrhoidopexy and Milligan–Morgan hemorrhoidectomy.

Methods

The clinical records of 12 (four women) and ten patients (four women) with third- and fourth-degree hemorrhoids, respectively, who underwent stapled hemorrhoidopexy or Milligan–Morgan’s hemorrhoidectomy, were evaluated. One week before and 6 months after surgery, rectal motor and sensory response to distension was assessed by an electronic barostat, and bowel and rectal symptoms were recorded by means of a 7-day diary and Bristol Index scale and psychological symptoms with SCL-90 questionnaire.

Results

Rectal distensibility and volume thresholds for sensations were significantly lower after surgery (P < 0.02) in the stapled group. Increased stool frequency and/or fecal urgency arose in 41% of patients in the stapled group and associated with altered rectal distensibility. No difference within and between groups could be demonstrated in SCL-90 score.

Conclusions

Rectal distensibility and volume thresholds for sensations decrease after stapled hemorrhoidopexy. Altered rectal distensibility was associated with rectal urgency and/or increased stool frequency.

Keywords

Hemorrhoids Barostat Rectal motor function Rectal sensory function Postoperative symptoms 

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Copyright information

© The Society for Surgery of the Alimentary Tract 2009

Authors and Affiliations

  • Maura Corsetti
    • 1
  • Paola De Nardi
    • 2
  • Salvatore Di Pietro
    • 1
  • Sandro Passaretti
    • 1
  • Pier Alberto Testoni
    • 1
  • Carlo Staudacher
    • 2
  1. 1.Division of Gastroenterology and Gastrointestinal Endoscopy, San Raffaele Scientific InstituteVita-Salute San Raffaele UniversityMilanItaly
  2. 2.Department of Surgery, San Raffaele Scientific InstituteVita-Salute San Raffaele UniversityMilanItaly

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