Low anterior resection syndrome: a survey of the members of the American Society of Colon and Rectal Surgeons (ASCRS), the Spanish Association of Surgeons (AEC), and the Spanish Society of Coloproctology (AECP)

Abstract

The probability of patients suffering from LARS was underestimated despite reporting good knowledge of the syndrome. Validated methods for the assessment of LARS were rarely used. Deficient awareness regarding risk factors for LARS was documented. Knowledge of therapeutic options was also limited.

Acceptability and benefit of rectal irrigation in patients with low anterior resection syndrome: a qualitative study

“…Consequently, patients may withhold full disclosure of symptoms to their clinician. It is likely that previous studies highlighting the disparity between patient and clinician views on the impact of LARS on QoL could be explained by patients minimizing or opting not to disclose symptoms to their clinical team. In order to facilitate recognition of LARS symptoms it is therefore imperative that patients are aware of the symptoms of LARS preoperatively and that treatment strategies are available.…”

“…Patients with LARS often rely on strategies such as the use of pads, self‐medication with laxatives and changes to diet in an attempt to control symptoms . Biofeedback can be used to help patients to improve evacuation or incontinence and is often the first‐line treatment option.…”

“…Rectal irrigation could also offer a potential solution for the management of LARS symptoms. A survey of colorectal surgeons across the USA and Spain suggested that less than one‐third of surgeons would consider offering rectal irrigation as a form of treatment for LARS and very few would offer it as a first‐line treatment .…”

Factors associated with low anterior resection syndrome after surgical treatment of rectal cancer

“…There is limited evidence suggesting that the symptoms of LARS may be obviated by the formation of a neorectal reservoir or by side to side anastomosis . Despite the fact that LARS is a significant and not uncommon problem a recent survey of colorectal surgeons suggests that awareness of the syndrome, its risk factors and treatment options is low .…”

A randomized trial comparing transanal irrigation and percutaneous tibial nerve stimulation in the management of low anterior resection syndrome

“…Transanal irrigation (TAI) is an effective therapy for some defaecatory disorders, including ARS , but its use is not widespread . Posterior tibial nerve stimulation (PTNS) has also been used as a therapy for faecal incontinence and constipation, but there are few data on its usefulness for the management of ARS .…”