Xu PP, Su YH, Zhang Y, Lu T. Modified Gant procedure for treatment of internal rectal prolapse in elderly women. World J Clin Cases 2021; 9(29): 8702-8709 [PMID: 34734048 DOI: 10.12998/wjcc.v9.i29.8702]
Corresponding Author of This Article
Yong-Hong Su, MHSc, Chief Physician, Department of Anorectal, Central Hospital Affiliated to Shandong First Medical University, No. 105 Jiefang Road, Lixia District, Jinan 250013, Shandong Province, China. suyonghong126@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 16, 2021; 9(29): 8702-8709 Published online Oct 16, 2021. doi: 10.12998/wjcc.v9.i29.8702
Modified Gant procedure for treatment of internal rectal prolapse in elderly women
Peng-Peng Xu, Yong-Hong Su, Yan Zhang, Tong Lu
Peng-Peng Xu, Department of Anorectal, Shandong Provincial Hospital (Group) Huaiyin People’s Hospital, Jinan 250021, Shandong Province, China
Yong-Hong Su, Tong Lu, Department of Anorectal, Central Hospital Affiliated to Shandong First Medical University, Jinan 250013, Shandong Province, China
Yan Zhang, Department of Anorectal, Shanghe People’ Hospital, Shanghe 251600, Shandong Province, China
Author contributions: Xu PP and Lu T designed the study; Su YH performed the research; Zhang Y analyzed the data and wrote the manuscript; all authors have read and approve the final manuscript.
Supported byJinan Health Commission Science and Technology Project, No. 2019-1-61.
Institutional review board statement: The study was reviewed and approved by the Jinan Huaiyin People’s Hospital Institutional Review Board.
Informed consent statement: All study participants provided informed written consent prior to study enrollment.
Conflict-of-interest statement: No conflict of interest to be declare.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yong-Hong Su, MHSc, Chief Physician, Department of Anorectal, Central Hospital Affiliated to Shandong First Medical University, No. 105 Jiefang Road, Lixia District, Jinan 250013, Shandong Province, China. suyonghong126@126.com
Received: June 10, 2021 Peer-review started: June 10, 2021 First decision: July 5, 2021 Revised: July 13, 2021 Accepted: August 6, 2021 Article in press: August 6, 2021 Published online: October 16, 2021
Abstract
BACKGROUND
Although rectal prolapse is not a life-threatening condition, it can cause defecation disorders, anal incontinence, sensory abnormalities, and other problems that can seriously affect quality of life.
AIM
To study the efficacy of the modified Gant procedure for elderly women with internal rectal prolapse.
METHODS
Sixty-three elderly female patients with internal rectal prolapse underwent the modified Gant procedure. The preoperative and postoperative anal symptoms, Patient Assessment of Constipation Quality of Life (PAC-QOL), Wexner incontinence score, incontinence quality of life score, and complications (massive hemorrhage, infection, anorectal stenosis, and anorectal fistula) were compared.
RESULTS
The improvement rates of postoperative symptoms were defecation disorders (84.5%), anal distention (69.6%), defecation sensation (81.4%), frequent defecation (88.7%), and anal incontinence (42.9%) (P < 0.05). All dimensions and total scores of the PAC-QOL after the procedure were lower than those before the operation (P < 0.05). The postoperative anal incontinence score and Wexner score were significantly lower than those before the procedure (P < 0.05). The quality of life and total scores of postoperative anal incontinence were significantly higher than those before the procedure (P < 0.05). There were no serious complications and no deaths.
CONCLUSION
The modified Gant procedure has significant advantages in the treatment of elderly women with internal rectal prolapse.
Core Tip: Intrarectal prolapse in elderly patients, who have low tolerance for surgery, is often complicated by medical diseases. In this study, we explored a new kind of operation with a reliable curative effect, few postoperative complications and tolerance by elderly women with intrarectal prolapse.
