Ítem
Embargo

Cinco años de experiencia en manejo de procidencia rectal con técnicas de Altemeier y Delorme 2019 - 2023

Mostrar el registro sencillo de la publicación
dc.contributor.advisorFigueroa Avendaño, Carlos Edgar
dc.contributor.otherCala Noriega, Juan Guillermo
dc.contributor.otherCendales Rodríguez, María Angélica
dc.contributor.otherVillaveces Franco, Mariana
dc.creatorAgudelo Jiménez, Leidy Dayana
dc.creator.degreeEspecialista en Coloproctología
dc.creator.degreeLevelMaestría
dc.date.accessioned2025-05-19T20:35:19Z
dc.date.available2025-05-19T20:35:19Z
dc.date.created2025-02-25
dc.date.embargoEndinfo:eu-repo/date/embargoEnd/2027-05-20
dc.descriptionLa procidencia rectal es una patología que altera de forma notable la calidad de vida, por lo que es importante conocer las características de su presentación clínica y el manejo más adecuado de esta patología en nuestro medio, para que sirvan como referencia para analizar tendencias y resultados clínicos. Se describe la experiencia en el manejo de la procidencia rectal con dos técnicas quirúrgicas diferentes para evaluar los desenlaces clínicos de los pacientes en un hospital de alto nivel de complejidad. Se llevó a cabo un estudio observacional descriptivo retrospectivo. Se incluyeron todos los pacientes atendidos por el servicio de Coloproctología en Méderi - Hospital Universitario Mayor en el periodo 2019 - 2023. Los resultados se presentan en términos descriptivos. Un total de 103 pacientes fueron incluidos. Al 77,6% (n=80) se les realizó la técnica de Altemeier y a 22,3% (n=23) técnica de Delorme. En el 12,6% se presentaron complicaciones postoperatorias, y el 14,5% presentaron recidiva, 10/80 pacientes en el grupo de Altemeier y 5/23 pacientes en el grupo de Delorme. Se presentó una muerte en la población en estudio, debido a isquemia mesentérica en el postoperatorio inmediato. Ambos procedimientos se consideran seguros en el manejo de procidencia rectal con una tasa alta de recidiva, similar a la reportada en la literatura.
dc.description.abstractBackground: Rectal procidency is a pathology with important consequences on the quality of life and the basis of its treatment is surgical, so it is important to know the characteristics of its clinical presentation and ideal management of this pathology in our environment in Colombia that could be used as reference to analyze clinical trends and results. We described five years of experience in the management of rectal procidency with two different surgical techniques to evaluate respective outcomes in a high complexity level hospital. Objective: To compare the clinical outcomes of patients with rectal incidence managed with the Delorme technique or the Altemeier technique managed at Méderi-Hospital Universitario Mayor during the period between 2019 and 2023. Methods: A descriptive retrospective observational study was performed. All patients attended by the Coloproctology Department at Mederi – Hospital Universitario Mayor in the period between 2019 – 2023 were included. The results are presented in descriptive terms. Results: A total of 103 patients were included. The Altemeier technique was performed on 77,6% (n=80) and the Delorme technique on 22,3% (n=23). Postoperative complications occurred in 12,6% and 14,5% had recurrence of the pathology, 10 out of 80 patients in the Altemeier group and 5 out of 23 patients in the Delorme group. There was only one death in the study population, due to mesenteric ischemia during the postoperative period. Conclusion: Both procedures are considered safe in the management of rectal procidency with a high recurrence rate, similar to that reported in literature.
dc.format.extent64 pp
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.48713/10336_45348
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/45348
dc.language.isospa
dc.publisherUniversidad del Rosario
dc.publisher.departmentEscuela de Medicina y Ciencias de la Salud
dc.publisher.programEspecialización en Coloproctología
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.accesRightsinfo:eu-repo/semantics/embargoedAccess
dc.rights.accesoRestringido (Temporalmente bloqueado)
dc.rights.licenciaEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.source.bibliographicCitationFelt-Bersma RJF, Stella MTE, Cuesta MA. Rectal Prolapse, Rectal Intussusception, Rectocele, Solitary Rectal Ulcer Syndrome, and Enterocele. Vol. 37, Gastroenterology Clinics of North America. W.B. Saunders; 2008. p. 645–68. https://doi.org/10.1016/S0889-8553(05)70174-6 Disponible en https://www.sciencedirect.com/science/article/abs/pii/S0889855305701746
dc.source.bibliographicCitationGuzmán CML, Mirada DFS. Case report of perineal rectosigmoidectomy (Altemeier’s procedure) for incarcerated rectal prolapse. Rev Colomb Gastroenterol. 2018;33(4):454–8. DOI: http://dx.doi.org/10.22516/25007440.170
dc.source.bibliographicCitationKairaluoma M V, Kellokumpu IH. Epidemiologic aspects of complete rectal prolapse. Vol. 94, Scandinavian Journal of Surgery. 2005. doi: 10.1177/145749690509400306.
dc.source.bibliographicCitationStein EA, Stein DE. Rectal Procidentia: Diagnosis and Management. Gastrointest Endosc Clin N Am. 2006;16(1):189–201. doi: 10.1016/j.giec.2006.01.014.
dc.source.bibliographicCitationBhattacharya P, Hussain MI, Zaman S, Randle S, Tanveer Y, Faiz N, et al. Delorme’s vs. Altemeier’s in the management of rectal procidentia: systematic review and meta- analysis. Langenbeck’s Arch Surg [Internet]. 2023;408(1):1–13. Available from: https://doi.org/10.1007/s00423-023-03181-z
dc.source.bibliographicCitationAhmadinejad M, Farsi Y, bahr M hadi, bozorgmehr R, soltanian A, zebarjadi bagherpour J. A case report of largest rectal prolapse in the literature successfully treated with Altemeier’s procedure. Ann Med Surg [Internet]. 2022;80(June):104231. Available from: https://doi.org/10.1016/j.amsu.2022.104231
dc.source.bibliographicCitationBrown AJ, Anderson JH, McKee RF, Finlay IG. Strategy for Selection of Type of Operation for Rectal Prolapse Based on Clinical Criteria. Dis Colon Rectum. 2004;47(1):103–7. doi: 10.1007/s10350-003-0013-x.
dc.source.bibliographicCitationMuñoz F, del Valle E, Rodríguez M, Zorrilla J. Prolapso rectal. ¿Abordaje abdominal o perineal? Estado actual. Cirugía Española. 2005;78(Supl 3):50–8.
dc.source.bibliographicCitationBordeianou L, Paquette I, Johnson E, Holubar SD, Gaertner W, Feingold DL, et al. Clinical Practice Guidelines for the Treatment of Rectal Prolapse. Dis Colon Rectum. 2017;60(11):1121–31.
dc.source.bibliographicCitationLiu W, Ding J, Fang Y, Zhang Z, Chang C, Ai X, et al. Altemeier procedure for rectal prolapse: Multicentre study of anastomotic complications. Br J Surg. 2022;109(1):E10–1.
dc.source.bibliographicCitationFelt-Bersma RJF, Stella MTE, Cuesta MA. Rectal Prolapse, Rectal Intussusception, Rectocele, Solitary Rectal Ulcer Syndrome, and Enterocele. Vol. 37, Gastroenterology Clinics of North America. W.B. Saunders; 2008. p. 645–68.
dc.source.bibliographicCitationGuzmán CML, Mirada DFS. Case report of perineal rectosigmoidectomy (Altemeier’s procedure) for incarcerated rectal prolapse. Rev Colomb Gastroenterol. 2018;33(4):454–8.
dc.source.bibliographicCitationKairaluoma M V, Kellokumpu IH. Epidemiologic aspects of complete rectal prolapse. Vol. 94, Scandinavian Journal of Surgery. 2005.
dc.source.bibliographicCitationStein EA, Stein DE. Rectal Procidentia: Diagnosis and Management. Gastrointest Endosc Clin N Am. 2006;16(1):189–201.
dc.source.bibliographicCitationBhattacharya P, Hussain MI, Zaman S, Randle S, Tanveer Y, Faiz N, et al. Delorme’s vs. Altemeier’s in the management of rectal procidentia: systematic review and meta-analysis. Langenbeck’s Arch Surg [Internet]. 2023;408(1):1–13. Available from: https://doi.org/10.1007/s00423-023-03181-z
dc.source.bibliographicCitationAhmadinejad M, Farsi Y, bahr M hadi, bozorgmehr R, soltanian A, zebarjadi bagherpour J. A case report of largest rectal prolapse in the literature successfully treated with Altemeier’s procedure. Ann Med Surg [Internet]. 2022;80(June):104231. Available from: https://doi.org/10.1016/j.amsu.2022.104231
dc.source.bibliographicCitationBrown AJ, Anderson JH, McKee RF, Finlay IG. Strategy for Selection of Type of Operation for Rectal Prolapse Based on Clinical Criteria. Dis Colon Rectum. 2004;47(1):103–7.
dc.source.bibliographicCitationMuñoz F, del Valle E, Rodríguez M, Zorrilla J. Prolapso rectal. ¿Abordaje abdominal o perineal? Estado actual. Cirugía Española. 2005;78(Supl 3):50–8.
dc.source.bibliographicCitationBordeianou L, Paquette I, Johnson E, Holubar SD, Gaertner W, Feingold DL, et al. Clinical Practice Guidelines for the Treatment of Rectal Prolapse. Dis Colon Rectum. 2017;60(11):1121–31.
dc.source.bibliographicCitationLiu W, Ding J, Fang Y, Zhang Z, Chang C, Ai X, et al. Altemeier procedure for rectal prolapse: Multicentre study of anastomotic complications. Br J Surg. 2022;109(1):E10–1.
dc.source.bibliographicCitationAltomare DF, Binda GA, Ganio E, De Nardi P, Giamundo P, Pescatori M. Long-term outcome of Altemeier’s procedure for rectal prolapse. Dis Colon Rectum. 2009;52(4):698–703.
dc.source.bibliographicCitationBordeianou L, Hicks CW, Kaiser AM, Alavi K, Sudan R, Wise PE. Rectal Prolapse: An Overview of Clinical Features, Diagnosis, and Patient-Specific Management Strategies. J Gastrointest Surg. 2014;18(5):1059–69.
dc.source.bibliographicCitationSchiergens TS, Thomas MN, Thasler WE. Rectal Prolapse. J Gastrointest Surg [Internet]. 2012;16(12):2336–7. Available from: https://doi.org/10.1007/s11605-012- 2035-y
dc.source.bibliographicCitationTrompetto M, Tutino R, Realis Luc A, Novelli E, Gallo G, Clerico G. Altemeier’s procedure for complete rectal prolapse; Outcome and function in 43 consecutive female patients. BMC Surg. 2019;19(1):1–7.
dc.source.bibliographicCitationSchultz I, Mellgren A, Dolk A, Johansson C, Holmström B. Long-term results and functional outcome after Ripstein rectopexy. Dis Colon Rectum. 2000;43(1):35–43.
dc.source.bibliographicCitationHawkins AT, Olariu AG, Savitt LR, Gingipally S, Wakamatsu MM, Pulliam S, et al. Impact of Rising Grades of Internal Rectal Intussusception on Fecal Continence and Symptoms of Constipation. Dis Colon Rectum. 2016;59(1):54–61.
dc.source.bibliographicCitationSnooks SJ, Henry MM, Swash M. Anorectal incontinence and rectal prolapse: differential assessment of the innervation to puborectalis and external anal sphincter muscles. Gut. 1985;26(5):470–6.
dc.source.bibliographicCitationFelt-Bersma RJF, Luth WJ, Janssen JJWM, Meuwissen SGM. Defecography in patients with anorectal disorders - Which findings are clinically relevant? Dis Colon Rectum. 1990;33(4):277–84.
dc.source.bibliographicCitationPoen AC, De Brauw M, Felt-Bersma RJF, De Jong D, Cuesta MA. Laparoscopic rectopexy for complete rectal prolapse: Clinical outcome and anorectal function tests. Surg Endosc. 1996;10(9):904–8.
dc.source.bibliographicCitationKöhler A, Athanasiadis S. The value of posterior levator repair in the treatment of anorectal incontinence due to rectal prolapse - A clinical and manometric study. Langenbeck’s Arch Surg. 2001;386(3):188–92.
dc.source.bibliographicCitationFelt-Bersma RJF, Poen AC, Cuesta MA, Meuwissen SGM. Anal sensitivity test: What does it measure and do we need it? Cause or derivative of anorectal complaints? Dis Colon Rectum. 1997;40(7):811–6.
dc.source.bibliographicCitationBrown AJ, Horgan AF, Anderson JH, McKee RF, Finlay IG. Colonic motility is abnormal before surgery for rectal prolapse. Br J Surg. 1999;86(2):263–6.
dc.source.bibliographicCitationSchultz I, Miellgren A, Öberg M, Dolk A, Holmström B. Whole gut transit is prolonged after Ripstein rectopexy. Eur J Surg. 1999;165(3):242–7.
dc.source.bibliographicCitationMyers JO, Rothenberger DA. Sugar in the reduction of incarcerated prolapsed bowel - Report of two cases. Dis Colon Rectum. 1991;34(5):416–8.
dc.source.bibliographicCitationTou S, Brown SR, Nelson RL. Surgery for complete (full-thickness) rectal prolapse in adults. Cochrane Database Syst Rev. 2015;2015(11).
dc.source.bibliographicCitationKim DS, Tsang CBS, Wong WD, Lowry AC, Goldberg SM, Madoff RD. Complete rectal prolapse: Evolution of management and results. Dis Colon Rectum. 1999;42(4):460–9.
dc.source.bibliographicCitationCunin D, Siproudhis L, Desfourneaux V, Berkelmans I, Meunier B, Bretagne JF, et al. No surgery for full-thickness rectal prolapse: What happens with continence? World J Surg. 2013;37(6):1297–302.
dc.source.bibliographicCitationFu CWP, Stevenson ARL. Risk Factors for Recurrence after Laparoscopic Ventral Rectopexy. Dis Colon Rectum. 2017;60(2):178–86.
dc.source.bibliographicCitationSenapati A, Gray RG, Middleton LJ, Harding J, Hills RK, Armitage NCM, et al. PROSPER: A randomised comparison of surgical treatments for rectal prolapse. Color Dis. 2013;15(7):858–68.
dc.source.bibliographicCitationDeen KI, Grant E, Billingham C, Keighley MRB. Abdominal resection rectopexy with pelvic floor repair versus perineal rectosigmoidectomy and pelvic floor repair for full- thickness rectal prolapse. Br J Surg. 1994;81(2):302–4.
dc.source.bibliographicCitationLieberth M, Kondylis LA, Reilly JC, Kondylis PD. The Delorme repair for full- thickness rectal prolapse: a retrospective review. Am J Surg [Internet]. 2009;197(3):418–23. Available from: http://dx.doi.org/10.1016/j.amjsurg.2008.11.012
dc.source.bibliographicCitationWatkins BP, Landercasper J, Belzer GE, Rechner P, Knudson R, Bintz M, et al. Long-term follow-up of the modified delorme procedure for rectal prolapse. Arch Surg. 2003;138(5):498–503.
dc.source.bibliographicCitationTsunoda A, Yasuda N, Yokoyama N, Kamiyama G, Kusano M. Delorme’s procedure for rectal prolapse: Clinical and physiological analysis. Dis Colon Rectum. 2003;46(9):1260–5.
dc.source.bibliographicCitationPescatori M, Zbar AP. Tailored surgery for internal and external rectal prolapse: Functional results of 268 patients operated upon by a single surgeon over a 21-year period. Colon Dis. 2009;11(4):410–9.
dc.source.bibliographicCitationWeicheng L, Jianhua D, Yiming F, et al. Altemeier procedure for rectal prolapse: multicentre study of anastomotic complications. Bjs. 2022; 109(e10-e11)
dc.source.bibliographicCitationAlwahid M, Knight S, Wadhawan H, Campbell K, Ziyaie D, Koch S. Perineal rectosigmoidectomy for rectal prolapse—the preferred procedure for the unfit eld erly patient? 10 years experience from a UK tertiary centre. Techniques in Coloproctology 2019;23:1065–1072
dc.source.bibliographicCitationVital L, Franco R, Saddy C, Fagundes J, Real C, Setsuko M. Long-term outcome of perineal rectosigmoidectomy for rectal prolapse. Journal of Surgery 2016(32)78-82
dc.source.bibliographicCitationZbar AP, Takashima S, Hasegawa T, Kitabayashi K. Perineal rectosigmoidectomy (Altemeier’s procedure): A review of physiology, technique and outcome. Tech Coloproctol. 2002;6(2):109–16.
dc.source.bibliographicCitationWatkins B, Landercasper J, Belzer E, Rechner P, Knudson R, Bintz M, Lambert P. Long-term Follow-up of the modified Delorme procedure for rectal prolapse. Arch Surg.2003;138:498-503
dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectProcidencia rectal
dc.subjectTécnica de Altemeier
dc.subjectTécnica de Delorme
dc.subjectProlapso rectal
dc.subject.keywordRectal procidency
dc.subject.keywordAltemeier technique
dc.subject.keywordDelorme technique
dc.subject.keywordRectal prolapse
dc.titleCinco años de experiencia en manejo de procidencia rectal con técnicas de Altemeier y Delorme 2019 - 2023
dc.title.TranslatedTitleFive years of experience in the management of rectal prolapse using Altemeier and Delorme techniques 2019 - 2023
dc.typemasterThesis
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de grado
local.department.reportEscuela de Medicina y Ciencias de la Salud
local.regionesBogotá
Archivos
Bloque original
Mostrando1 - 1 de 1
Miniatura
Nombre:
Cinco_anos_de_experiencia_en_manejo_de_procidencia_rectal.pdf
Tamaño:
589.2 KB
Formato:
Adobe Portable Document Format
Descripción:
Descargar
Colecciones
Especialización en Coloproctología