Anorectal Function after Low Anterior Resection for Carcinoma

Pedersen, Ib Krogh; Christiansen, John; Hint, K; Jensen, P; Olsen, J H; Mortensen, Poul Erik

doi:10.1097/00000658-198608000-00006

Cited by 132 publications

(65 citation statements)

References 9 publications

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“…Bowel function improves over the ensuing 1 to 2 years, and this improvement correlates well with increasing capacitance of the "neorectum." [19][20][21] Because of this early improvement in function, the current study only examined longterm bowel function more than 2 years after anterior resection. The current study did not find a significant correlation between the level of the anastomosis and postoperative stool frequency or incontinence.…”

Section: Resultsmentioning

confidence: 99%

The Long-Term Effect of Adjuvant Postoperative Chemoradiotherapy for Rectal Carcinoma on Bowel Function

et al. 1994

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ObjectiveThe authors assessed the long-term effect of postoperative chemoradiotherapy on bowel function. Summary Background DataAdjuvant postoperative radiation therapy, often combined with chemotherapy, is being used increasingly often for rectal carcinoma. However, the long-term effect of this treatment on bowel function has not been investigated. MethodsThe records were reviewed of all patients undergoing anterior resection for rectal carcinoma 2 to 5 years previously. During this period, patients with Astler-Coller stage B2 or C tumors generally were given postoperative radiation therapy with chemotherapy, whereas those with earlier stage tumors were not. To minimize possible confounding factors that may have been more common in the group receiving chemoradiotherapy and that may affect bowel function, extensive exclusion criteria were used, such as invasion of contiguous organs, local or distant metastases, use of a dysfunctioning stoma, and anastomotic or pelvic complications. One hundred remaining patients were suitable for inclusion in the study and participated in a telephone questionnaire; 41 patients had postoperative chemoradiotherapy, and 59 did not. ResultsThe two groups were well matched for sex, level of anastomosis, and length of follow-up, although the group receiving chemoradiotherapy was slightly younger. The group that had chemoradiotherapy had more bowel movements per day than the group that did not have radiation therapy (median 7 vs. median 2, p < 0.001); the former group had "clustering" of bowel movements more often (42% vs. 3%, p < 0.001), had nighttime movements more often (46% vs. 14%, p < 0.001), had occasional or frequent incontinence more often (39% and 17% vs. 7% and 0%, p < 0.001), wore a pad more often (41% vs. 10%, p < 0.001), and were unable to defer defecation for more than 15 minutes more often (78% vs. 19%, p < 0.001). The group that had chemoradiotherapy also had stool of liquid consistency, used antidiarrheal medications, had perianal skin irritation, were unable to differentiate stool from gas, and needed to defecate again within 30 minutes of a movement significantly more often than the group that did not receive chemoradiotherapy. 676

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Section: Resultsmentioning

confidence: 99%

The Long-Term Effect of Adjuvant Postoperative Chemoradiotherapy for Rectal Carcinoma on Bowel Function

et al. 1994

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“…The reflex is communicated via the intrinsic nervous system, and is not triggered in patients with Hirschsprung disease as a result of the dysfunction of the intrinsic innervation. The reflex can also not be triggered initially after LAR (61,66,128), but is restored within a period of one year after the operation (25,26,83,89,121,124,141). In our own study the reflex was seen only in 40 % of patients at the first follow-up examination, and in 75 % six months later (26).…”

Section: Disorders Of the Rectoanal Inhibitory Reflexmentioning

confidence: 65%

Causes and Prevention of Functional Disturbances Following Low Anterior Resection for Rectal Cancer

Gross¹

2011

Rectal Cancer - A Multidisciplinary Approach to Management

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“…According to the researches, some authors (H. Suzuki, et al), who studied this function in patients with «straight» anastomosis, the figures obtained remained fairly low in the next and late postoperative period [22][23][24][25][26].…”

Section: Methods Of Surgical Correction Of Functional Disorders For Pmentioning

confidence: 99%

Surgical correction of functional disorders in performing sphincterosafing operations for rectal cancer (literature review)

Куликов

Kaminsky

Каминский³

et al. 2017

Rossiyskiy mediko-biologicheskiy vestnik

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For many decades the main goal of oncologists was to increase life expectancy of patients with malignant tumors, without paying due attention to quality of life. Currently, the goals of patients’ treatment with rectal cancer are to cure, to minimize the risk of local recurrence, preserve the normal course of intestine, to optimize it's function and to ensure quality of life. For a long time, the standard surgical treatment of patients with low rectal cancer was abdominoperineal extirpation, but recently sphincterosafing operations have seen a widespread introduction in surgical practice. However, functional results after these types of operations don't always meet the expectations of surgeons and patients. In the postoperative period, patients often develop a syndrome of low anterior resection, characterized by frequent bowel movements, repeated, prolonged and incomplete evacuation of bowel and the imperative urge to defecate. The manifestation of this syndrome can significantly impair the quality of patient's life and reduce to nothing the efforts of the surgeon to preserve the sphincter of the rectum. For surgical correction of low anterior resection syndrome, various types of colonic reservoir anastomoses have been proposed. The purpose of formation of colonic reservoirs is to increase the cumulative function of intestine. However, the existing methods have several disadvantages related to technical complications and the risk of developing evacuation dysfunction, which is the reason for search the new ways of optimization of anastomoses when performing sphincterotomy operations for cancer of the rectum.

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Anorectal Function after Low Anterior Resection for Carcinoma

Cited by 132 publications

References 9 publications

The Long-Term Effect of Adjuvant Postoperative Chemoradiotherapy for Rectal Carcinoma on Bowel Function

The Long-Term Effect of Adjuvant Postoperative Chemoradiotherapy for Rectal Carcinoma on Bowel Function

Causes and Prevention of Functional Disturbances Following Low Anterior Resection for Rectal Cancer

Surgical correction of functional disorders in performing sphincterosafing operations for rectal cancer (literature review)

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