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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Persisting anorectal dysfunction after rectal cancer surgery
Colorectal Disease, Volume 15, No. 11, Year 2013
Notification
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Description
Aim: Sphincter-saving rectal cancer management affects anorectal function. This study evaluated persisting anorectal dysfunction and its impact on patients' well-being. Method: Seventy-nine patients with a follow-up of 12-37 (median 22) months and 79 age- and sex-matched control subjects completed questionnaires. Results: The median number of diurnal bowel movements was three in patients and one in controls (P < 0.0001). Nocturnal defaecation occurred in 53% of patients. The median Vaizey score was 8 in patients and 4 in controls (P < 0.0001). Urgency without incontinence was reported by 47% of patients and 49% of controls (P = 0.873), soiling by 28% of patients and 3% of controls (P < 0.0001), incontinence for flatus by 73% of patients and 49% of controls (P = 0.0019), and incontinence for solid stools by 16% of patients and 4% of controls (P = 0.0153). Incontinence of liquid stools occurred in 17 of 20 patients and in one of five controls who had liquid stools (P = 0.0123). Incontinence for gas, liquid or solid stool occurred once or more weekly in 47%, 19% and 6% of patients respectively. Evacuation difficulties were reported by 98% of patients, but also by 77% of controls. Neoadjuvant radio(chemo)therapy adversely affected defaecation frequency and continence. Incontinence was associated with severe discomfort in 50% of patients, severe anxiety in 40% and severe embarrassment in 48%. Conclusion: Anorectal dysfunction is a frequent problem after management of rectal cancer with an impact on the well-being of patients.© 2013 The Association of Coloproctology of Great Britain and Ireland.
Authors & Co-Authors
Penninckx, Freddy M.A.
Belgium, Leuven
Ku Leuven– University Hospital Leuven
Moons, Philip
Belgium, Leuven
Ku Leuven
van Cutsem, Éric J.D.G.
Belgium, Leuven
Ku Leuven– University Hospital Leuven
Haustermans, Karin M.G.
Belgium, Leuven
Ku Leuven– University Hospital Leuven
D'Hoore, André J.L.
Belgium, Leuven
Ku Leuven– University Hospital Leuven
Statistics
Citations: 15
Authors: 5
Affiliations: 2
Identifiers
Doi:
10.1111/codi.12291
ISSN:
14631318
Research Areas
Cancer
Health System And Policy
Mental Health
Study Design
Cohort Study