• 여성건강간호학회지
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• 제27권4호
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• pp.297-306
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• 2021

Purpose: Rectal prolapse is still a relatively understudied medical condition, especially in women, whereas physical symptoms, depressive symptoms, and quality of life (QOL) in women with pelvic organ prolapse have been steadily studied. This study aimed to examine the interaction and main effects of physical and depressive symptoms on physical and mental QOL of women seeking care for rectal prolapse in Korea. Methods: Ninety-two women with rectal prolapse were recruited from a colorectal surgery clinic of a tertiary teaching hospital in Gwangju, Korea. Physical symptoms related to rectal prolapse (pelvic organ prolapse distress, POPD; colorectal-anal distress, CRAD; and urinary distress, UD), depression, and QOL were measured. The data were analyzed using descriptive statistics, Pearson correlation coefficient, and two-way analysis of variance. Results: The interaction between POPD symptoms and depressive symptoms (F=4.51, p=.037) affected physical QOL. The interaction between POPD (F=9.66, p=.003) and CRAD symptoms (F=7.48, p=.008), respectively, and depressive symptoms affected mental QOL. Depressive symptoms had a significant main effect on the physical QOL in the CRAD (F=6.22, p=.014) and UD (F=6.01, p=.016) groups and on mental QOL in the UD group (F=24.54, p<.001). Conclusion: Physical and depressive symptoms should be considered together to improve the QOL in women with rectal prolapse. Nursing interventions and medical treatments to decrease rectal prolapse-related physical and depressive symptoms are required to improve QOL in women with symptomatic rectal prolapse.

• 한국임상수의학회지
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• 제40권1호
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• pp.73-77
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• 2023

Rectal prolapse is encountered in all domestic animal species but clinical report regarding the condition in the elk is limited. A 10-year-old elk bull weighing 400 kg was referred to the Large Animal Hospital of Kyungpook National University with clinical signs including intermittent tenesmus related to rectal prolapse and anorexia for the previous 5 days. Type II rectal prolapse was diagnosed based on the history and clinical signs. An emergency resection and anastomosis including a purse string suture was performed under general intravenous (IV) anesthesia in field to prevent injury of the patient and the staff. The patient recovered uneventfully after the surgery without excitement. A systemic antibiotic and an anti-inflammatory drug were given to prevent postoperative complication and relieve pain. The follow up on the patient after 4 weeks of the surgery showed that the prolapse recurred due to intermittent straining after 2 weeks of the surgery. The patient was on the glucocorticoid for the following 3 days but was finally euthanized owing to the exacerbation of the prolapse 1 week after the recurrence. This report describes a rare case of rectal prolapse in an elk bull and the clinical outcome of the surgical repair in detail.

• 대한한방소아과학회지
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• 제34권2호
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• pp.40-56
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• 2020

Objectives The purpose of this study is to analyze recent clinical studies on traditional Chinese medicine (TCM) treatment for pediatric inguinal hernia and pediatric rectal prolapse in China, and to seek better methods to treat and to study for Inguinal hernia and Rectal prolapse in Korea. Methods We searched the clinical studies from the China National Knowledge Infrastructure (CNKI) that were published between January 2000 to February 2020 by key words '疝气', '直腸脫出', '直腸脫垂', '脫肛', '小腸疝', '腹股溝疝', '儿童', '小儿', '少儿', '幼年', '治療', '中医治療', '中藥', '中医藥', '顆粒', '膠囊', '自擬', '湯', '丸', '散', '方'. We analyzed the literatures in regards to the treatment methods and results. Results Among the 193 searched studies, 10 randomized controlled trials were selected and analyzed. In most of the studies, the effectiveness of the traditional Chinese medicine (TCM) treatment on inguinal hernia and rectal prolapse was significantly high. Conclusions Based on the results of the clinical studies from China, use of the TCM for the treatment of inguinal hernia and rectal prolapse has been shown to be effective in relieving symptoms. Also, based on the result of this study, it will be possible to widen the scope of the TCM treatment on inguinal hernia and rectal prolapse. Additional clinical studies and experimental studies are needed to be performed to solidify these findings. The TCM has been shown as an effective treatment for pediatrics as well. These research results can be utilized in other clinical studies and in treatment.

• 한국임상수의학회지
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• 제33권3호
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• pp.165-167
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• 2016

A case of rectal prolapses in a one-year-old intact male mixed-breed dog, weighing 6.8 kg was presented with one-week history of protruded tubular pink mass through the anus along with mucosal necrosis. The prolapse was non-reducible, so rectal amputation and anal purse-string suture was performed. Prolapse recurred 9 days after the surgery, purse-string suture and conservative treatment were attempted with no-good results. Laparoscopic-assisted incisional colopexy technique was applied to treat the recurrent rectal prolapse, but failed 6 days after surgery. This was followed by non-incisional colopexy technique, which prevented recurrence during the 3 months of follow-up period. Despite the episode of recurrence, the laparoscopic-assisted colopexy technique treated rectal prolapse successfully. This is the first report in Korea, which describes laparoscopic-assisted colopexy in the dog.

• Advances in pediatric surgery
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• 제1권2호
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• pp.133-139
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• 1995

어린이 탈직장 11례 중 7례에서 5% 페놀을 포함한 글리세린액 직장점막하주사법을 이용한 경화요법을 시행하고 그 시술방법과 치료결과를 보고하였다. 이 방법은 간단하며, 단 1회 시술 후 6례에서 완치되어 치료율도 높았다. 시술 후 합병증이 없었다는 점과 실험적 조직소견으로 보아 본 치료법이 안전한 방법이며, 경화제에 의한 점막하층의 섬유화유발이 치료기전일 가능성의 증거도 제시되었다. 외래 혹은 입원상태에서의 국소요법 혹은 전신마취하 시술 등 상황에 따라 시술법도 자유롭게 선택할 수 있으나 시술 전 장청소과정과 시술 중 좌인지감각에 의한 주의깊은 점막하층 접근은 합병증을 피하기 위하여 반드시 지켜져야할 중요한 점으로 강조되어야 하겠다. 어린이의 탈직장에 대한 치료는 성인환자들과는 반드시 구분되어야 하며, 경화요법은 안전하고 편리하며 효과적인 우선적 치료법이라고 판단된다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제12권1호
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• pp.64-69
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• 2009

고립성 직장 궤양 증후군은 흔치 않은 만성 질환으로 소아의 경우에는 보고가 드물며, 대장 내시경과 조직검사를 통해 진단할 수 있다. 저자들은 직장 탈항과 배변 시 점액성 혈변을 주소로 내원한 12세 남아에서 대장 내시경과 병리학적 진단, 항문 직장 내압 검사로 고립성 직장 궤양 증후군으로 진단하여 보고하는 바이다.

• 한국임상수의학회지
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• 제39권2호
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• pp.75-80
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• 2022

An 11-year-old male Rex rabbit (Oryctolagus cuniculus) had a rectal prolapse induced by a polypoid mass. The mass was highly vascularized with a cauliflower-like appearance. Anorectal papilloma was suspected, and fine needle aspiration cytology showed eosinophilic inflammation. After surgical removal of the polyp, postoperative care was given, such as systemic antibiotics and analgesics. In the re-examination, the rabbit was resolved, and there were no complications. Histopathological examination of the removed polyp indicated chronic eosinophilic proctitis to be the cause of the inflammatory condition of the protruding rectal polyp.

• 동의생리병리학회지
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• 제38권2호
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• pp.59-65
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• 2024

Rectal prolapse is a condition where the rectal wall protrudes outside the anus. While it is a rare condition, it can cause discomfort for patients due to the protrusion of the rectal structure, discharge of mucus and blood, fecal incontinence, constipation, and other inconveniences. In this review, we analyzed a randomized controlled trial (RCT) study that used the herbal medicine Bojungikgi-tang(Buzhongyiqi-tang) as a complementary therapy to improve the weaknesses and side effects of the standard treatment, surgical therapy, for rectal prolapse. The analysis included 12 RCT studies, and in all studies, the prescription involved the use of Astragali Radix at the highest dosage. Among the 11 studies that evaluated efficacy, 7 studies showed a significant effect compared to the control group. In all 3 studies that evaluating recurrence rates and all 5 studies investigating complications after surgery, the experimental group showed significant effects. Based on these findings, this study could be considered as a foundational evidence for the application of bojungikgi-tang(Buzhongyiqi-tang) in clinical practice in Korean medicine for patients with rectal prolapse. It could also serve as foundational data for future research.

• 한국임상수의학회지
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• 제33권2호
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• pp.129-130
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• 2016

A 5-year-old male Laika dog was referred with chief complaint of dyschezia and tenesmus. The dog had rectal prolapse and it was corrected with rectal resection and anastomosis, a year ago. On rectal examination, the stricture of rectum was identified. The irregular scar tissues on serosal and muscular layers of rectum were noted and they were dispersed with partial thickness incision around rectum. Then, the colopexy and mechanical dilation with balloon catheter were applied. No recurrence of rectal prolapse and other complications were noted during follow up periods of 1 year. This report described a successfully corrected anastomotic rectal stricture in a dog.

• 한국수의병리학회:학술대회논문집
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• 한국수의병리학회 2002년도 추계학술대회초록집
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• pp.147-147
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• 2002

The slowly growing microaerophilic Helicobacter strains were isolated from the fecal pallets of 2 BALB/cA-Hfh11$\^$nu/ mice with rectal prolapse. The rectums of these mice protruded approximately 2 to 3 mm from the anus and varied in color from pale pink to deep red. Histopathologically, chronic proliferative colitis and proctitis were observed. The epithelium were hyperplastic and lymphocytes infiltrated markedly in mucosa and submucosa. Our isolated bactrial strains were characterized by morphological, physiological, molecular methods and special staining, and they were found to be Helicobacter hepaticus. We could not find any other pathogens from both mice. These results demonstrate that this organism may be a pathogen of the inflammatory large bowel disease in immunodeficent mice.