Impact of Functional Results on Quality of Life After Rectal Cancer Surgery

Vironen, Jaana; Kairaluoma, Matti I.; Aalto, Anna-Mari; Kellokumpu, Ilmo

doi:10.1007/s10350-006-0513-6

Cited by 197 publications

(166 citation statements)

References 42 publications

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“…Also, neoadjuvant CRT is an adverse factor for anal continence following ISR 28, 45. QoL such as physical, social and psychological aspects of a patient's life is likely to be affected by anal dysfunction 28, 79. QoL outcomes of ISR patients were relatively good based on the SF‐36, EORTC QLQ‐C30, and FIQL scales 20, 46, 48.…”

Section: Discussionmentioning

confidence: 99%

Intersphincteric resection for very low rectal cancer: A review of the updated literature

Shirouzu

Murakami

Akagi

2017

Annals of Gastroent Surgery

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Intersphincteric resection (ISR) has rapidly increased worldwide including laparoscopic surgery. However, there are some concerns for the definition of ISR, surgical technique, oncological outcome, anal function, and quality of life (QoL). The aim of the present study is to evaluate those issues. A review of this surgical technique was carried out by searching English language literature of the PubMed online database and appropriate articles were identified. With regard to open‐ISR, the morbidity rate ranged from 7.5% to 38.3%, with lower mortality rates. Local recurrence rates varied widely from 0% to 22.7%, with a mean follow‐up duration of 40–94 months. Disease‐free and overall 5‐year survival rates were 68–86% and 76–97%, respectively. Those outcomes were equivalent to laparoscopic‐ISR. Surgical and oncological outcomes of ISR were generally acceptable. However, accurate evaluation of anal function and QoL was difficult because of a lack of standard assessment of various patient‐related factors. The surgical and oncological outcomes after ISR seem to be acceptable. The ISR technique seems to be valid as an alternative to abdominoperineal resection in selected patients with a very low rectal cancer. However, both necessity for ISR and expectations of QoL impairment as a result of functional disorder should be fully discussed with patients before surgery.

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Section: Discussionmentioning

confidence: 99%

Intersphincteric resection for very low rectal cancer: A review of the updated literature

Shirouzu

Murakami

Akagi

2017

Annals of Gastroent Surgery

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“…12 Evacuation disorders and incontinence may also arise after surgery for rectal cancer probably because of the loss of rectal capacity following resection, as well as possible impairment of the anorectal reflexes controlling continence. 13 TAI can improve both faecal incontinence and defecation disorders in this group. [14][15][16] Moreover, resectional and ileo-anal pouch surgery may cause functional problems, and efficacy of TAI in this patient group has been shown too, with specifically enhanced ability to cope with the long-term consequences of surgery.…”

Section: Introductionmentioning

confidence: 91%

Consensus review of best practice of transanal irrigation in adults

et al. 2013

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Study design: Review article. Objectives: To provide a consensus expert review of the treatment modality for transanal irrigation (TAI). Methods: A consensus group of specialists from a range of nations and disciplines who have experience in prescribing and monitoring patients using TAI worked together assimilating both the emerging literature and rapidly accruing clinical expertise. Consensus was reached by a round table discussion process, with individual members leading the article write-up in the sections where they had particular expertise. Results: Detailed trouble-shooting tips and an algorithm of care to assist professionals with patient selection, management and follow-up was developed. Conclusion: This expert review provides a practical adjunct to training for the emerging therapeutic area of TAI. Careful patient selection, directly supervised training and sustained follow-up are key to optimise outcomes with the technique. Adopting a tailored, stepped approach to care is important in the heterogeneous patient groups to whom TAI may be applied. Sponsorship: The review was financially supported by Coloplast A/S.

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“…While this surgical procedure leaves an intact anal sphincter, research has shown that participants suffer a number of problematic bowel symptoms. The main symptoms reported were faecal incontinence, bowel frequency and bowel urgency (Guren et al, 2005;Inoue, and Kusunoki, 2011;Vironen et al, 2006). In addition, longitudinal studies highlighted that diarrhoea and constipation were problematic for participants at 12 months (Schmidt et al, 2005) and at 15 months following surgery (Grumann et al, 2001).…”

Section: Introductionmentioning

confidence: 99%