Publication Name	World Journal of Gastroenterology
Manuscript ID	7434
Country	Italy

Received	2013-11-18 09:52
Peer-Review Started	2013-11-18 19:26
To Make the First Decision	2013-12-26 11:02
Return for Revision	2013-12-27 21:09
Revised	2014-01-05 09:05
Second Decision	2014-02-20 09:10
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2014-02-20 09:23
Articles in Press
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript	2014-03-28 09:37
Publish the Manuscript Online	2014-04-17 13:27

ISSN	1007-9327 (print) and 2219-2840 (online)
Open Access
Copyright
Article Reprints	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com

Category	Gastroenterology & Hepatology
Manuscript Type	Case Report
Article Title	Failed stapled rectal resection in a constipated patient with rectal aganglionosis
Manuscript Source	Invited Manuscript
All Author List	Lorenzo C Pescatori, Vincenzo Villanacci and Mario Pescatori
Funding Agency and Grant Number
Corresponding Author	Lorenzo C Pescatori, MD, Coloproctology Unit, Parioli Clinic, Via Felice Giordano 8, 00100 Rome, Italy. lorenzo.carlo.pescatori@gmail.com
Key Words	Constipation; Rectal agangliosis; Obstructed defecation; Stapled rectal resection; Parastomal hernia
Core Tip	A patient with persisting constipation following STARR or transanal stapled rectal resection, carried out for rectal internal prolapse, needed a diverting sigmoidostomy. She also had proctalgia due to retained staples. Despite normal manometry and intestinal transit times, a deep rectal biopsy showed marked alterations of the intrinsic plexus, which was the main cause of symptoms. Both morphology and function of the anorectum should be carefully investigated prior to indicate surgery. Obstructed defecation may be considered an “Iceberg syndrome”: the rectal internal prolapse is just the tip of the iceberg, and occult underlying lesions should be properly diagnosed and cured.
Publish Date	2014-04-17 13:27
Citation	Pescatori LC, Villanacci V, Pescatori M. Failed stapled rectal resection in a constipated patient with rectal aganglionosis. World J Gastroenterol 2014; 20(15): 4462-4466
URL	http://www.wjgnet.com/1007-9327/full/v20/i15/4462.htm
DOI	http://dx.doi.org/10.3748/wjg.v20.i15.4462

Full Article (PDF)	WJG-20-4462.pdf
Full Article (Word)	WJG-20-4462.doc
Manuscript File	7434-Review.doc
Answering Reviewers	7434-Answering reviewers.pdf
Copyright License Agreement	7434-Copyright assignment.pdf
Institutional Review Board Approval Form or Document	Ethics_Committee_20131118013712.docx
Non-Native Speakers of English Editing Certificate	7434-Language certificate.pdf
Peer-review Report	7434-Peer review(s).pdf
Scientific Editor Work List	7434-Scientific editor work list.doc