Quality of life in colorectal cancer

Abstract

Although nonstoma patients generally fare better than do stoma patients, they also suffer from physical impairments induced by sphincter-saving procedures (e.g., impaired bowel and sexual function). These impairments may become more prevalent as ultralow anastomosis is more frequently applied, resulting in bowel and sexual dysfunction and related psychologic distress. Well-designed studies are needed that examine whether quality-of-life benefits are to be gained by use of ultralow anastomosis compared with colostomy.

Evaluación de las alteraciones psicológicas y de la calidad de vida en pacientes con cáncer colorrectal localizado

“…Esto repercute en la calidad de vida de los pacientes, que en ocasiones se recluyen en casa. Problemas adicionales asociados con la presencia de colostomía incluyen: escape o goteo, accidente de la bolsa o derrame, olor y complicaciones en el orificio (Sprangers, Taal, Aaronson, y te Velde, 1995).…”

Side Effects of Neoadjuvant Treatment in Locally Advanced Rectal Cancer

“…It is often suggested that patients with a stoma generally have lower quality of life and as a consequence, sphincter-sparing surgery has been forced (5). Already when low anastomosis started coming up, the problem of reduced social functioning of both colostomy and impaired anal sphincter was seen and could not be clearly weighed up (30). It is meaningful that the surgical and oncological aims seem not to correspond completely with the demand of the patients (31).…”

Quality of life of patients with an intestinal stoma constructed in the course of treatment of rectal and sigmoid colon cancer

“…Life with a stoma exerts an effect on the quality of life of patients considering the physical, psychological, and social aspects. The results of studies presented below indicate the most important causes of dysfunction of living with an intestinal stoma [7,8].…”