Stool frequency, consistency (according to the Bristol Stool Form Scale, score 1 7), straining, incomplete evacuation, sensation of ano-rectal obstruction and manual manoeuvres to facilitate defecation were registered for assessment of bowel function and degree of constipation and diarrhoea.
In 1992, Spinelli et al (Spinelli P, Dal Fante M, Mancini A: Self-expanding mesh stent for endoscopic palliation of rectal obstructing tumors: A preliminary report. Surg Endosc 6 72 74, 1992) first reported placement of a modified Gianturco-Rosch stent within the colon for management of large bowel obstruction.
The most severe complications of rectal irradiation (obstruction and fistula requiring colostomy) have been essentially eliminated.
This study was designed to assess the results of the standard Delorme procedure versus an anterior modification of the Delorme procedure in the treatment of patients with rectal outlet obstruction secondary to internal intussusception with or without rectocele.
Intestinal endometriosis may present with rectal bleeding, bowel obstruction and rarely with perforation or malignant transformation [ 5, 6].
Mode of presentation was defined as emergency if presentation was with significant rectal bleeding, intestinal obstruction, perforation, or other presentations resulting in an unplanned emergency hospital admission.
Hematuria, bladder outlet obstruction, and rectal compression are all improved with palliative radiotherapy.
Patients usually present with obstruction and rectal bleeding.
Benefits of Nd YAG laser on quality of life were shown for patients suffering from obstruction, diarrhea, rectal bleeding, mucus discharge, or pain secondary to tumor bulk, with 88% success rates [ 23– 27, 27– 30].
