Persisting anorectal dysfunction after rectal cancer surgery

Maris, Anneleen; Penninckx, Freddy; Devreese, A. M.; Staes, Filip; Moons, Philip; Cutsem, Éric Van; Haustermans, Karin; D’Hoore, André

doi:10.1111/codi.12291

Cited by 16 publications

(11 citation statements)

References 33 publications

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“…This is in accordance with all other validation studies of the LARS score . It is already well documented that preoperative (chemo)radiotherapy results in an impaired QoL in patients with rectal cancer .…”

Section: Discussionsupporting

confidence: 92%

“…This is in accordance with all other validation studies of the LARS score [6][7][8][9]. It is already well documented that preoperative (chemo)radiotherapy results in an impaired QoL in patients with rectal cancer [18][19][20][21][22]. The Dutch version of the LARS score was also able to discriminate between types of surgery (PME vs TME), just as in the English and the consolidated international validations [6,9].…”

Section: Discussionsupporting

confidence: 88%

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Dutch validation of the low anterior resection syndrome score

et al. 2018

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 88%

Dutch validation of the low anterior resection syndrome score

et al. 2018

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“…Sixty-seven percent of the patients in the TME-group had major LARS symptoms. These findings are in line with the literature showing a relatively high incidence of defecation problems after neoadjuvant CRT followed by TME, compared to TME only [40][41][42][43][44] . This can be explained by the pathophysiology of functional problems after surgery.…”

Section: Discussionsupporting

confidence: 92%

Organ preserving treatment in rectal cancer

Hupkens¹

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“…For example, in one study, 45% reported occasional incontinence, while 16% reported complete incontinence . Other studies have reported liquid or solid fecal incontinence in 30% of patients and nocturnal incontinence in 53% of patients, indicating a high prevalence of bowel symptoms associated with sphincter‐sparing surgery for low rectal cancer . Poor bowel control reduces QOL primarily through embarrassment and social well being, rather than physical well being, and it can cause pain.…”

Section: Key Predictors Of Qolmentioning

confidence: 99%

Conversations for providers caring for patients with rectal cancer: Comparison of long‐term patient‐centered outcomes for patients with low rectal cancer facing ostomy or sphincter‐sparing surgery

Herrinton

Altschuler

McMullen

et al. 2016

CA A Cancer J Clinicians

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For some low rectal cancer patients, ostomy (with elimination into a pouch) may be the only realistic surgical option. However, some patients have a choice between ostomy and sphincter-sparing surgery. Sphincter-sparing surgery has been preferred over ostomy because it offers preservation of normal bowel function. However, this surgery can cause incontinence and bowel dysfunction. Increasingly, it has become evident that certain patients eligible for sphincter-sparing surgery may not be well served by the surgery and construction of an ostomy may be better. No validated assessment tool or decision aid has been published to help newly diagnosed patients decide between the two surgeries, or to help physicians elicit long-term surgical outcomes. Furthermore, comparison of long-term outcomes and late effects following the two surgeries has not been synthesized. We therefore conducted a systematic review to examine this ? This systematic review summarizes controlled studies that compared long-term survivorship outcomes between these two surgical groups. Our goals are: 1) improve understanding and shared decision-making among surgeons, oncologists, primary care providers, patients, and caregivers; 2) increase the patient’s participation in the decision; (3) alert the primary care provider to patient challenges that could be addressed by provider attention and intervention; and 4) ultimately, improve patients’ long-term quality of life. This report includes discussion points for health care providers to use with their patients during initial discussions of ostomy and sphincter-sparing surgery, as well as questions to ask during follow-up examinations to ascertain any long-term challenges facing the patient.

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Persisting anorectal dysfunction after rectal cancer surgery

Abstract: Anorectal dysfunction is a frequent problem after management of rectal cancer with an impact on the well-being of patients.

Cited by 16 publications

References 33 publications

Dutch validation of the low anterior resection syndrome score

Dutch validation of the low anterior resection syndrome score

Organ preserving treatment in rectal cancer

Conversations for providers caring for patients with rectal cancer: Comparison of long‐term patient‐centered outcomes for patients with low rectal cancer facing ostomy or sphincter‐sparing surgery

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