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http://hdl.handle.net/1843/56255| Tipo: | Artigo de Periódico |
| Título: | Feasibility study of transanal irrigation using a colostomy irrigation system in patients with low anterior resection syndrome |
| Autor(es): | 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 |
| Resumen: | 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. |
| Asunto: | Síndrome de Ressecção Anterior Baixa |
| Idioma: | eng |
| País: | Brasil |
| Editor: | Universidade Federal de Minas Gerais |
| Sigla da Institución: | UFMG |
| Departamento: | MED - DEPARTAMENTO DE CIRURGIA MED - DEPARTAMENTO DE CLÍNICA MÉDICA |
| Tipo de acceso: | Acesso Restrito |
| Identificador DOI: | 10.1097/DCR.0000000000002005 |
| URI: | http://hdl.handle.net/1843/56255 |
| Fecha del documento: | 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 |
| Aparece en las colecciones: | Artigo de Periódico |
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