PURPOSE The purpose of the study was to determine the variables associated with @entity282 and the clinical response of @entity1 with uncomplicated @entity6713 treated with stapled rectal mucosectomy in the medium term. METHODS @entity1 with Grade II to IV, uncomplicated @entity6713 who underwent stapled rectal mucosectomy were prospectively included. The basal characteristics of the population were evaluated and level of stapling and placement of hemostatic suture determined. Histologically, the type of resected epithelium and presence of muscle fibers was evaluated. @entity282 was evaluated by means of a visual analog scale. Complications and clinical response were evaluated. RESULTS One hundred @entity1 with a mean age of 43.9 years were included. Only columnar epithelium was resected in 48, transitional epithelium in 47, and squamous epithelium in 5 @entity1 . Smooth muscle fragments were found in 55 @entity1 , and, in 12 of these, fibers from the external muscular layer of rectum were also seen. Follow-up was 12.6 +/- 3.4 (range, 7-24) months. A total of 79 @entity1 were completely asymptomatic at the end of follow-up. Resected squamous epithelium was associated with a higher @entity282 level in the multivariate analysis (coefficient beta = 1.16 (95 percent confidence interval, 0.08-2.24); P = 0.035). CONCLUSIONS Rectal mucosectomy with stapler is an effective method for the treatment of uncomplicated prolapsing @entity6713 . Intensity of @entity282 was associated with the type of resected epithelium. This suggests that low transection of @entity6713 must be avoided.

Prospective study of factors affecting XXXX and symptom persistence after stapled rectal mucosectomy for @entity6713 : a need for preservation of squamous epithelium.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity282 :: ('MESH:D010149', 'Disease') :: ['postoperative pain', 'Postoperative pain'] @entity6713 :: ('MESH:D006484', 'Disease') :: ['hemorrhoidal disease', 'hemorrhoids']
@entity282 :: (MESH:D010149,Disease) :: ['postoperative pain']
