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Prospective Evaluation of the Defecatory Functional Results in Patients Following Aorto-Aortic Reconstruction Surgery for an Abdominal Aortic Aneurysm

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Abstract

Purpose

Anterior rectal resections have been associated with postoperative bowel function abnormalities, a condition defined as anterior resection syndrome. Autonomic denervation could be one of the possible mechanisms underlying this complication. Damage to the preaortic tissue containing autonomic nervous plexus during abdominal aortic reconstruction surgery may affect the anorectal defecation function.

Methods

The anorectal function was prospectively studied in 22 patients undergoing abdominal aortic reconstruction surgery. The patients were examined preoperatively and 6 months postoperatively by symptom-specific questionnaires.

Results

Postoperatively, the patients showed no significant impairment of the anorectal functions in both constipation- and fecal incontinence-specific questionnaires. Self-estimation of the defecatory function was slightly lower compared with preoperative scores.

Conclusion

An injury to the intermesenteric, inferior mesenteric, and superior hypogastric plexuses does not significantly influence the defecatory functions in patients following abdominal reconstruction surgery for an abdominal aortic aneurysm.

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References

  1. GN Rao PJ Drew PWR Lee JRT Monson GS Duthie (1996) ArticleTitleAnterior resection syndrome is secondary to the sympathetic denervation Int J Colorectal Dis 11 250–8 Occurrence Handle8951517 Occurrence Handle10.1007/s003840050056 Occurrence Handle1:STN:280:ByiC3cbitlM%3D

    Article  PubMed  CAS  Google Scholar 

  2. MRQ Davies (1997) ArticleTitleAnatomy of the nerve supply of the rectum, bladder, and internal genitalia in anorectal dysgenesis in the male J Pediatr Surg 32 536–41 Occurrence Handle9126749 Occurrence Handle10.1016/S0022-3468(97)90702-8 Occurrence Handle1:STN:280:ByiB2s7ptVA%3D

    Article  PubMed  CAS  Google Scholar 

  3. DB Vodušek (2004) ArticleTitleAnatomy and neurocontrol of the pelvic floor Digestion 69 87–92 Occurrence Handle15087575 Occurrence Handle10.1159/000077874

    Article  PubMed  Google Scholar 

  4. RJ Heald (1979) ArticleTitleA new approach to rectal cancer Br J Hosp Med 22 277–81 Occurrence Handle391315 Occurrence Handle1:STN:280:Bi%2BD1cfotVY%3D

    PubMed  CAS  Google Scholar 

  5. RJ Heald RD Ryall (1986) ArticleTitleRecurrence and survival after total mesorectal excision for rectal cancer Lancet 1 1479–82 Occurrence Handle2425199 Occurrence Handle10.1016/S0140-6736(86)91510-2 Occurrence Handle1:STN:280:BimB2Mros1w%3D

    Article  PubMed  CAS  Google Scholar 

  6. ME Williamson WG Lewis PJ Finan AS Miller PJ Holdsworth D Johnston (1995) ArticleTitleRecovery of physiologic and clinical function after low anterior resection of the rectum for carcinoma: myth or reality? Dis Colon Rectum 38 411–8 Occurrence Handle7720451 Occurrence Handle10.1007/BF02054232 Occurrence Handle1:STN:280:ByqB3snoslU%3D

    Article  PubMed  CAS  Google Scholar 

  7. PJ McDonald RJ Heald (1983) ArticleTitleA survey of postoperative function after rectal anastomosis with circular stapling devices Br J Surg 70 727–9 Occurrence Handle6640254 Occurrence Handle10.1002/bjs.1800701211 Occurrence Handle1:STN:280:BiuD2MzpvFA%3D

    Article  PubMed  CAS  Google Scholar 

  8. IK Pedersen K Huit J Christiansen J Olsen P Jensen PE Mortensen (1986) ArticleTitleAnorectal function after low anterior resection for carcinoma Ann Surg 204 133–5 Occurrence Handle3741004 Occurrence Handle10.1097/00000658-198608000-00006 Occurrence Handle1:STN:280:BimB1MvnvFI%3D

    Article  PubMed  CAS  Google Scholar 

  9. OJ McAnena RJ Heald HE Lockhart-Mummery (1990) ArticleTitleOperative and functional results of total mesorectal excision with ultra-low anterior resection in the management of carcinoma of the lower one-third of the rectum Surg Gynecol Obstet 170 517–21 Occurrence Handle1693016 Occurrence Handle1:STN:280:By%2BB28%2FnsVc%3D

    PubMed  CAS  Google Scholar 

  10. S Miller WG Lewis ME Williamson PJ Holdsworth D Johnston PJ Finan (1995) ArticleTitleFactors that influence the outcome after coloanal anastomosis for carcinoma of the rectum Br J Surg 82 1327–30 Occurrence Handle7489154 Occurrence Handle10.1002/bjs.1800821010 Occurrence Handle1:STN:280:BymD1MjotFA%3D

    Article  PubMed  CAS  Google Scholar 

  11. S Nakahara H Itoh R Mibu S Ikeda Y Oohata K Kitano et al. (1988) ArticleTitleClinical and manometric evaluation of anorectal function following low anterior resection with low anastomotic line using an EEA stapler for rectal cancer Dis Colon Rectum 31 762–6 Occurrence Handle3168661 Occurrence Handle10.1007/BF02560101 Occurrence Handle1:STN:280:BiaD3cvjvFc%3D

    Article  PubMed  CAS  Google Scholar 

  12. SJ Lee YS Park (1998) ArticleTitleSerial evaluation of anorectal function following low anterior resection of the rectum Int J Colorectal Dis 13 241–6 Occurrence Handle9870169 Occurrence Handle10.1007/s003840050169 Occurrence Handle1:STN:280:DyaK1M%2Fos12qsQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  13. PS Phillips SM Farquharson R Sexton RJ Heald BJ Moran (2004) ArticleTitleRectal cancer in the elderly: patients' perception of bowel control after restorative surgery Dis Colon Rectum 47 287–90 Occurrence Handle14991489 Occurrence Handle10.1007/s10350-003-0051-4

    Article  PubMed  Google Scholar 

  14. J Hida T Yoshifuji T Tokoro K Inoue T Matsuzaki K Okuno et al. (2004) ArticleTitleLong-term functional outcome of low anterior resection with colonic J-pouch reconstruction for rectal cancer in the elderly Dis Colon Rectum 47 1448–54 Occurrence Handle15486740 Occurrence Handle10.1007/s10350-004-0654-4

    Article  PubMed  Google Scholar 

  15. WG Lewis IG Martin ME Williamson BM Stephenson PJF Holdsworth D Johnston (1995) ArticleTitleWhy do some patients experience poor functional results after anterior resection of the rectum for carcinoma? Dis Colon Rectum 38 259–63 Occurrence Handle7882788 Occurrence Handle10.1007/BF02055598 Occurrence Handle1:STN:280:ByqC1cfmsFM%3D

    Article  PubMed  CAS  Google Scholar 

  16. H Ortiz P Armendariz (1996) ArticleTitleAnterior resection: do the patients perceive any clinical benefit? Int J Colorect Dis 11 191–5 Occurrence Handle10.1007/s003840050042 Occurrence Handle1:STN:280:ByiD3s%2FjtlM%3D

    Article  CAS  Google Scholar 

  17. FH Remzi VW Fazio E Gorgun M Zutshi JM Church IC Lavery et al. (2005) ArticleTitleQuality of life, functional outcome, and complications of coloplasty pouch after low anterior resection Dis Colon Rectum 48 735–43 Occurrence Handle15785900 Occurrence Handle10.1007/s10350-004-0862-y

    Article  PubMed  Google Scholar 

  18. PG Horgan PR O'Connell CA Shinkwin WO Kirwan (1989) ArticleTitleEffect of anterior resection on anal sphincter function Br J Surg 76 783–6 Occurrence Handle2765827 Occurrence Handle10.1002/bjs.1800760805 Occurrence Handle1:STN:280:BiaA2Mzjs1I%3D

    Article  PubMed  CAS  Google Scholar 

  19. L Lundby K Krogh VJ Jensen P Gandrup N Qvist J Overgaard et al. (2005) ArticleTitleLong-term anorectal dysfunction after postoperative radiotherapy for rectal cancer Dis Colon Rectum 48 1343–52 Occurrence Handle15933797 Occurrence Handle10.1007/s10350-005-0049-1

    Article  PubMed  Google Scholar 

  20. PG Horgan PR O'Connell CA Shinkwin WO Kirwan (1989) ArticleTitleEffect of anterior resection on anal sphincter function Br J Surg 76 783–6 Occurrence Handle2765827 Occurrence Handle10.1002/bjs.1800760805 Occurrence Handle1:STN:280:BiaA2Mzjs1I%3D

    Article  PubMed  CAS  Google Scholar 

  21. C Efthimiadis G Basdanis A Zatagias I Tzeveleki C Kosmidis C Karamanlis et al. (2004) ArticleTitleManometric and clinical evaluation of patients after low anterior resection for rectal cancer Tech Coloproctol 8 205–7 Occurrence Handle10.1007/s10151-004-0158-1

    Article  Google Scholar 

  22. MG O'Riordain RG Molloy P Gillen A Horgan WO Kirwan (1992) ArticleTitleRectoanal inhibitory reflex following low stapled anterior resection of the rectum Dis Colon Rectum 35 874–8 Occurrence Handle1511649 Occurrence Handle10.1007/BF02047876

    Article  PubMed  Google Scholar 

  23. YP Sangwan JA Solla (1998) ArticleTitleInternal anal sphincter: advances and insights Dis Colon Rectum 41 1297–311 Occurrence Handle9788395 Occurrence Handle10.1007/BF02258232 Occurrence Handle1:STN:280:DyaK1M%2Fgt1Cntg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  24. PM Sagar PJ Holdsworth D Johnston (1991) ArticleTitleCorrelation between laboratory findings and clinical outcome after restorative proctocolectomy: serial studies in 20 patients with end-to-end pouch anal anastomosis Br J Surg 78 67–70 Occurrence Handle1998869 Occurrence Handle10.1002/bjs.1800780121 Occurrence Handle1:STN:280:By6C2M3ktlM%3D

    Article  PubMed  CAS  Google Scholar 

  25. E Jehle T Haehnel MJ Starlinger HD Becker (1995) ArticleTitleLevel of the anastomosis does not influence functional outcome after anterior rectal resection for rectal cancer Am J Surg 169 147–53 Occurrence Handle7817985 Occurrence Handle10.1016/S0002-9610(99)80124-X Occurrence Handle1:STN:280:ByqC3MjnsVM%3D

    Article  PubMed  CAS  Google Scholar 

  26. K Koda N Saito K Seike K Shimizu C Kosugi M Miyazaki (2005) ArticleTitleDenervation of the neorectum as a potential cause of defecatory disorder following low anterior resection for rectal cancer Dis Colon Rectum 48 210–7 Occurrence Handle15711859 Occurrence Handle10.1007/s10350-004-0814-6

    Article  PubMed  Google Scholar 

  27. EC Jehle T Haehnel MJ Starlinger HD Becker (1995) ArticleTitleLevel of the anastomosis does not influence functional outcome after anterior rectal resection for rectal cancer Am J Surg 169 147–53 Occurrence Handle7817985 Occurrence Handle10.1016/S0002-9610(99)80124-X Occurrence Handle1:STN:280:ByqC3MjnsVM%3D

    Article  PubMed  CAS  Google Scholar 

  28. K Havenga WE Enker (2002) ArticleTitleAutonomic nerve preserving total mesorectal excision Surg Clin North Am 82 1009–18 Occurrence Handle12507206 Occurrence Handle10.1016/S0039-6109(02)00044-0

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of General, Endocrine and Transplant Surgery, Municipal Hospital in Gdańsk, Medical University of Gdańsk, Dębinki 7, 80-211, Gdańsk, Poland

    Sebastian Dobrowolski, Stanisław Hać & Zbigniew Śledziński

  2. Department of Cardiac Surgery, Vascular Surgery Division, Municipal Hospital in Gdańsk, Medical University of Gdańsk, Dębinki 7, 80-211, Gdańsk, Poland

    Jacek Wojciechowski

  3. Department of General and Gastroenterological Surgery, Municipal Hospital in Gdańsk, Medical University of Gdańsk, Dębinki 7, 80-211, Gdańsk, Poland

    Marek Dobosz

Authors
  1. Sebastian Dobrowolski
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  2. Jacek Wojciechowski
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  4. Stanisław Hać
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  5. Zbigniew Śledziński
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Dobrowolski, S., Wojciechowski, J., Dobosz, M. et al. Prospective Evaluation of the Defecatory Functional Results in Patients Following Aorto-Aortic Reconstruction Surgery for an Abdominal Aortic Aneurysm. Surg Today 37, 831–836 (2007). https://doi.org/10.1007/s00595-007-3511-y

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  • DOI: https://doi.org/10.1007/s00595-007-3511-y

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