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Type:	Artigo de Periódico
Title:	Feasibility study of transanal irrigation using a colostomy irrigation system in patients with low anterior resection syndrome
Authors:	Beatriz Deoti e Silva Rodrigues Franciele Rodrigues Kelly C. L. R. Buzatti Renato G. Campanati Magda Maria Profeta da Luz Rodrigo Gomes da Silva Antônio Lacerda-filho
Abstract:	BACKGROUND: Low anterior resection syndrome has a negative impact on quality of life. Intestinal irrigation is a method of lavage consisting of a scheduled evacuation.OBJECTIVE: This study aims to evaluate functional and quality-of-life outcomes in patients with low anterior resection syndrome after transanal irrigation using a colostomy irrigation system.DESIGN: This was a prospective case series.SETTINGS: This study presents a single-center experience at a tertiary oncological center in an upper-middle-income country. PATIENTS: Patients classified as having minor or major low anterior resection syndrome 12 months after their operation were selected. INTERVENTIONS: Transanal irrigation was performed using an ostomy irrigation kit. Questionnaires assessing patients’ bowel function (low anterior resection syndrome and Wexner score) and quality of life (Short Form-36 questionnaire) were applied before and after treatment.MAIN OUTCOME MEASURES: The primary outcomes were low anterior resection syndrome score and quality-of-life improvement after a 12-month treatment.RESULTS: Of the 22 patients included, 20 had major and 2 had minor low anterior resection syndrome, with a median score of 39, especially high rates of incontinence for liquid stool (21; 95.5%), clustering (21; 95.5%), and urgency (17; 77.3%). All patients successfully completed the 3-day training, and there were no complications during the treatment. After the 12-month period, the median score was 8, with 90% of the patients classified as having “no syndrome” and great improvement in all domains of this score. The most improved quality-of-life sections were patient vitality (p = 0.025) and physical (p = 0.002), social (p = 0.001), and emotional aspects (p = 0.001).LIMITATIONS: The study was limited by its small sample size and the limited follow-up period.
Subject:	Síndrome de Ressecção Anterior Baixa
language:	eng
metadata.dc.publisher.country:	Brasil
Publisher:	Universidade Federal de Minas Gerais
Publisher Initials:	UFMG
metadata.dc.publisher.department:	MED - DEPARTAMENTO DE CIRURGIA MED - DEPARTAMENTO DE CLÍNICA MÉDICA
Rights:	Acesso Restrito
metadata.dc.identifier.doi:	10.1097/DCR.0000000000002005
URI:	http://hdl.handle.net/1843/56255
Issue Date:	2021
metadata.dc.url.externa:	https://journals.lww.com/dcrjournal/Abstract/2022/03000/Feasibility_Study_of_Transanal_Irrigation_Using_a.17.aspx
metadata.dc.relation.ispartof:	Diseases of the Colon & Rectum
Appears in Collections:	Artigo de Periódico

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