Feasibility study of transanal irrigation using a colostomy irrigation system in patients with low anterior resection syndrome

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dc.creatorBeatriz Deoti e Silva Rodrigues
dc.creatorFranciele Rodrigues
dc.creatorKelly C. L. R. Buzatti
dc.creatorRenato G. Campanati
dc.creatorMagda Maria Profeta da Luz
dc.creatorRodrigo Gomes da Silva
dc.creatorAntônio Lacerda-filho
dc.date.accessioned2023-07-14T19:33:16Z
dc.date.accessioned2025-09-09T00:18:08Z
dc.date.available2023-07-14T19:33:16Z
dc.date.issued2021
dc.identifier.doi10.1097/DCR.0000000000002005
dc.identifier.issn00123706
dc.identifier.urihttps://hdl.handle.net/1843/56255
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofDiseases of the Colon & Rectum
dc.rightsAcesso Restrito
dc.subjectSíndrome de Ressecção Anterior Baixa
dc.subject.otherLow Anterior Resection Syndrome
dc.subject.otherTransanal irrigation
dc.titleFeasibility study of transanal irrigation using a colostomy irrigation system in patients with low anterior resection syndrome
dc.typeArtigo de periódico
local.citation.spage4
local.citation.volumePublish Ahead of Print
local.description.resumoBACKGROUND: 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.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE CIRURGIA
local.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICA
local.publisher.initialsUFMG
local.url.externahttps://journals.lww.com/dcrjournal/Abstract/2022/03000/Feasibility_Study_of_Transanal_Irrigation_Using_a.17.aspx

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