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 Processing time: 127 Days and 0.5 Hours
ARTICLE HIGHLIGHTS
Research background
Intrarectal prolapse (IRP) is defined as the intraluminal intussusception of part of, or the whole rectal wall, in which no external lesions can be observed on the flat surface of the anus.
Research motivation
IRP tends to commonly affect older women. Some patients need surgical treatment when conservative treatment does not improve the condition.
Research objectives
To explore a new type of procedure with a reliable curative effect, few postoperative complications, and easy tolerance by elderly women with IRP.
Research methods
Sixty-three elderly female patients with IRP underwent the modified Gant procedure.
Research results
The quality of life and total score of postoperative anal incontinence were significantly higher than those before the procedure.
Research conclusions
The modified Gant procedure has significant advantages in the treatment of elderly women with IRP. It has reliable curative effect, few postoperative complications, and is easily tolerated by elderly patients.
Research perspectives
In future studies, the authors will investigate whether comprehensive postoperative treatment, such as pelvic floor muscle training, traditional Chinese medicine, and psychological intervention, would be of benefit to patients with IRP.
