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| 1 | Comparative outcome of stapled trans-anal rectal resection and macrogol in the treatment of defecation disorders显示文摘AIM:To prospectively assess the eff icacy and safety of stapled trans-anal rectal resection(STARR) compared to standard conservative treatment,and whether preoperative symptoms and findings at defecography and anorectal manometry can predict the outcome of STARR.METHODS:Thirty patients(Female,28;age:51 ± 9 years) with rectocele or rectal intussusception,a defecation disorder,and functional constipation were submitted for STARR.Thirty comparable patients(Female,30;age 53 ± 13 years),who presented with symptoms of rectocele or rectal intussusception and were treated with macrogol,were assessed.Patients were interviewed with a standardized questionnaire at study enrollment and 38 ± 18 mo after the STARR procedure or during macrogol treatment.A responder was def ined as an absence of the Rome Ⅲ diagnostic criteria for functional constipation.Defecography and rectoanal manometry were performed before and after the STARR procedure in 16 and 12 patients,respectively.RESULTS:After STARR,53% of patients were responders;during conservative treatment,75% were responders.After STARR,30% of the patients reported the use of laxatives,17% had intermittent anal pain,13% had anal leakage,13% required digital facilitation,6% experienced defecatory urgency,6% experienced fecal incontinence,and 6% required re-intervention.During macrogol therapy,23% of the patients complained of abdominal bloating and 13% of borborygmi,and 3% required digital facilitation.No preoperative symptom,defecographic,or manometric finding predicted the outcome of STARR.Post-operative defecography showed a statistically significant reduction(P < 0.05) of the rectal diameter and rectocele.The postoperative anorectal manometry showed that anal pressure and rectal sensitivity were not significantly modified,and that rectal compliance was reduced(P = 0.01).CONCLUSION:STARR is not better and is less safe than macrogol in the treatment of defecation disorders.It could be considered as an alternative therapy in patients unresponsive to macrogol. | Ivano Biviano Danilo Badiali Laura Candeloro Fortunée Irene Irene Habib Massimo Mongardini Angelo Caviglia Fiorella Anzini Enrico S Corazziari | 2011 | World Journal of Gastroenterology2011，17，37： | 3 |
| 2 | TQM as a management strategy for the next millennia显示文摘 | Mehra S Hoffman J M Danilo S | 2001 | International Journal of Operations & Production Management2001，21，56： | 1 |
| 3 | Minimum Entro Pydeconvolution with Frequency-domain Constraints显示文摘 | Mauricio D S Danilo R V Alberta H C | 1994 | Geophysics1994，59，6： | 1 |
| 4 | Atherosclero- sis, caveolae and caveolin-l显示文摘 | Pavlides S Gutierrez-Paiares J L Danilo C etal | 2012 | Adv Exp Med Biol2012，729，： | 1 |
| 5 | Phase forma- tion and dielectric characterization of the Bi203-TeOz system prepared in an oxygen atmosphere显示文摘 | MARKO U MATJAZ V DANILO S | 2004 | J Am Ceram Soc2004，87，6： | 1 |
| 6 | Dielectric ch-ar- acterisation of ceramics from the TiO2-TeO2 sys-tem 显示文摘 | MARKO U MATJAZ V DANILO S | 2004 | J Euro Ceram Soc2004，21，1011： | 1 |
| 7 | Mood disorders, psycho- pharmacology and thyroid hormones显示文摘 | ] Danilo Q Gloger S Valdivieso S | 2004 | Rev Med Chil2004，132，11： | 1 |
| 8 | 显示文摘 | Matjaz V Danilo S Robert C | 2006 | J Eur Ceram Soc2006，26，： | 1 |
| 9 | 显示文摘 | Matjaz V Danilo S | 2004 | J Am Ceram Soc2004，87，： | 1 |
| 10 | Determination of Nicotinoid Insecticide Residues in Drinkingwater by Liquid Chromatography with Electrospray Ionization Mass Spectrometry显示文摘 | SERENELLA S PAOLA F DANILO A B | 2005 | Analytica Chimica Acta2005，553，12： | 1 |
| 11 | Porous silicon optical cavity structure applied to high sensitivity organic solvent sensor显示文摘 | Danilo R H Francisco J R F Walter J S | 2008 | Microelectronics Journal2008，39，34： | 1 |
| 12 | Multiresidue Determination of Nicotinoid Insecticide Residues in Drinkingwater by Liquid Chromatography with Electrospray Ionization Mass Spectrometry显示文摘 | SERENELLA S PAOLA F DANILO A B | 2005 | Analytica Chimica Acta2005，553，12： | 1 |
| 13 | CaTiO3 based ceramics:microstructural development and dielectric properties显示文摘 | DANILO S MATJAZ V BOSTIAN J | 2001 | Acta ChimMater2001，48，87： | 1 |
| 14 | Ground penetrating radar investigations for the restoration of historic buildings:the case study of the Collemaggio Basilica显示文摘 | Danilo R Marco S Marco T | 2004 | Journal of Cultural Heritage2004，，5： | 1 |
| 15 | Microfabrication of conducting polymer devices显示文摘 | PEDE D DANILO S GIORGIO D R | 1998 | Mater Sci Eng1998，5，3： | 1 |
| 16 | TQM as a management strategy for the next millennia显示文摘 | Mehra S Hoffman J M Danilo S | 2001 | Intenkational Journal of Operations & Pro- duction Management2001，，21： | 1 |
| 17 | Effect- iveness of Pulmonary Rehabilitation in Exercise Capacity and Quality of Life in Chronic Obstructive Pulmonary Disease Patients with and without Global Fat-Free Mass Depletion显示文摘 | Danilo C B Leonardo S Cassia C D C | 2013 | Archives of Physical Medicine and Reha- bilitation2013，94，8： | 1 |
| 18 | CaTiO3 based ceramics: microstructural development and dielectric properties 显示文摘 | DANILO S MATJAZ V BOSTIAN J | 2001 | Acta Chim Mater2001，48，1： | 1 |
| 19 | A Randomized comparative clinical study of two surgical procedures to improve root coverage with the acellular dermal matrix graft显示文摘 | Lauro G. Ayub Umberto D. Ramos Danilo M. Reino Márcio F. M. Grisi Mário Taba Sérgio L. S. Souza Daniela B. Palioto Arthur B. Novaes | 2012 | J Clin Periodontol2012，，9： | 1 |
| 20 | Clinical aspects and surgical treatment of urinary tract endometriosis:Our experience with 31 cases显示文摘 | ALESSANDRO A CLAUDIO S DANILO Z | 2006 | European Urol2006，49，10： | 1 |
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