Experiences of bowel symptoms in patients with rectal cancer after sphincter-preserving surgery: a qualitative meta-synthesis

Liu, Cong; Tang, Haiyan; Zhang, Yue; Zhang, Qiuwen; Wantong, Yang; Huang, Yu; Pang, Dong

doi:10.1007/s00520-022-07473-w

Cited by 5 publications

(2 citation statements)

References 34 publications

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“…These symptoms and their incidence included small frequent stool (70-94.4%), altered anal sense (12-98%), fecal incontinence (12-97%), fecal urgency (67%), evacuator dysfunction (47%), varied stool forms (37.6%), and gas-stool discrimination (34%) [4,[6][7][8][9]. These symptoms gradually spontaneously improved in the postoperative period but seldom totally recovered over years [4,[8][9][10][11].…”

Section: Definition Of Low Anterior Resection Syndromementioning

confidence: 99%

Care of Post-Operative Altered Bowel Function in Colorectal Cancer Patients

2024

Anorectal Disorders - From Diagnosis to Treatment

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Rectal cancer patients with postoperative altered bowel function have poorer quality of life than colon rectal cancer patients with it. The altered bowel function symptoms were named low anterior resection syndrome. Mechanisms of these symptoms associated with removing rectum and receptors on its internal wall, creating neorectum, and destroying pelvic neuro-plexus by analsaving surgery. Due to the low anterior resection syndrome, patients suffered from physical, psychological and social impacts on quality of life. Three options are used to treat low anterior resection syndrome, including self-care strategies, clinician-initiated interventions, and creating a permanent stoma. The self-care strategies contain diet modification, lifestyle changes, and spiritual sublimation. The clinician-initiated interventions include prescribed medication, trans-anal irrigation, pelvic floor rehabilitation, neuromodulation, and so on. Creating a permanent stoma is the eventual choice due to anastomotic restriction. Altered bowel function may follow postoperative rectal cancer patients for whole life; however, flexibly using these care strategies may help them adjust.

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Section: Definition Of Low Anterior Resection Syndromementioning

confidence: 99%

Care of Post-Operative Altered Bowel Function in Colorectal Cancer Patients

2024

Anorectal Disorders - From Diagnosis to Treatment

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“…In recent years, the adoption of minimally invasive techniques and the growing desire for anus preservation have deriven laparoscopic anus preservation surgery to account for 62% to 85% of cases, emerging as the primary surgical approach for rectal cancer cure [2] . Despite its potential to maintain normal defecation function, sphincter-preserving surgery frequently subjects patients to a constellation of physical and psychological symptoms stemming from factors like anatomical and physiological alterations, sphincter damage, changes in colonic motility, surgical irritation, and postoperative radiotherapy and chemotherapy [3] . These symptoms often co-occur, forming symptom clusters that exhibit a reinforcing and cumulative impact, signi cantly impinging on patient's functional well-being and quality of life, and some times even reducing their survival prospects [4] .…”

Section: Introductionmentioning

confidence: 99%

Temporal relationship between symptom cluster and quality of life in rectal cancer survivor

You,

Xie,

Jia

et al. 2024

Preprint

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Symptom cluster and quality of life are negatively associated, but the prospective inter-relationship between them were unknown,which may provide a mechanism insight for symptom cluster management. A longitudinal study was conducted among 140 patients who undergoing laparoscopic-assisted sphincter-preserving surgery for rectal cancer between 2021 to 2022. We investigated the longitudinal associations of the change of symptom cluster with the trajectories of quality of life. These patients were assessed for symptom clusters and quality of life at specific time points: 2 weeks (T1), 1 month (T2), 3 months (T3) ,and 6 months (T4) after their surgeries. In our Pearson correlation analysis, the quality of life within 6 months after surgery showed a moderate-to-strong strength correlation (r=0.27-0.66) between the quality of life within the first 6 months post-surgery. There was also a significantly negative correlation between each symptom cluster and the quality of life at all four time points. Our cross-lagged model revealed a unidirectional temporal relationship between quality of life and symptom cluster. the quality of life level at these four time points could significantly and negatively predict the severity of each symptom cluster, with no observed reverse path. Importantly, the cross-lagged path coefficient from quality of life to symptom cluster was notably greater than the coefficient from symptom cluster to quality of life. These findings provide evidence that lower quality of life precede higher symptom cluster severity in rectal cancer survivor. This temporal relationship begins early in the post-surgery period, highlighting the importance of early quality of life intervention to help patients improve their symptom clusters. Keywords:rectal neoplasm;symptom cluster;quality of life;bidirectional relationship

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Application of pelvic floor rehabilitation in patients with colorectal cancer: a scoping review

Zhou,

Zhong,

et al. 2024

Tech Coloproctol

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Experiences of bowel symptoms in patients with rectal cancer after sphincter-preserving surgery: a qualitative meta-synthesis

Cited by 5 publications

References 34 publications

Care of Post-Operative Altered Bowel Function in Colorectal Cancer Patients

Care of Post-Operative Altered Bowel Function in Colorectal Cancer Patients

Temporal relationship between symptom cluster and quality of life in rectal cancer survivor

Application of pelvic floor rehabilitation in patients with colorectal cancer: a scoping review

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