Therapeutic Evaluation of Biofeedback Therapy in the Treatment of Anterior Resection Syndrome After Sphincter-Saving Surgery for Rectal Cancer

Liang, Zhonglin; Ding, Wenjun; Chen, Wei; Wang, Zhongchuan; Du, Peng; Cui, Long

doi:10.1016/j.clcc.2015.11.002

Cited by 41 publications

(48 citation statements)

References 24 publications

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“…With BFT, patients can obtain information about the activities of their pelvic floor muscles via a visual display. Liang et al [26] demonstrated that BFT for patients with LARS after rectal cancer surgery could significantly improve incontinence scores and stool frequency, although they could not show that it significantly alleviated urgent evacuation. They also found that increasing the number of cycles of therapy had a better effect.…”

Section: Treatment Of Larsmentioning

confidence: 99%

Postoperative Bowel Function After Anal Sphincter-Preserving Rectal Cancer Surgery: Risks Factors, Diagnostic Modalities, and Management

Pales¹,

Cruz³

et al. 2019

Ann Coloproctol

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Low anterior resection syndrome (LARS) refers to a disturbance of bowel function that commonly manifests within 1 month after rectal cancer surgery. A low level of anastomosis and chemoradiotherapy have been consistently found to be risk factors for developing LARS. Thorough history taking and physical examination with adjunctive procedures are essential when evaluating patients with LARS. Anorectal manometry, fecoflowmetry, and validated questionnaires are important tools for assessing the quality of life of patients with LARS. Conservative management (medical, physiotherapy, transanal irrigation), invasive procedures (neuromodulation), and multimodal therapy are the mainstay of treatment for patients with LARS. A stoma could be considered when other treatment modalities have failed. An initial meticulous surgical procedure for rectal cancer, creation of a neorectal reservoir during anastomosis, and proper exercise of the anal sphincter muscle (Kegel’s maneuver) are essential to combat LARS. Pretreatment counseling is a crucial step for patients who have risk factors for developing LARS.

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Section: Treatment Of Larsmentioning

confidence: 99%

Postoperative Bowel Function After Anal Sphincter-Preserving Rectal Cancer Surgery: Risks Factors, Diagnostic Modalities, and Management

Pales¹,

Cruz³

et al. 2019

Ann Coloproctol

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“…As LARS is a complex condition with a variety of expressions, pinpointing which elements of the treatment for LARS are most successful is difficult. Small studies have shown that treatment with TAI and biofeedback enjoys good effect in some patients with LARS [18–22]. In our study period, 17 patients received TAI and seven patients received biofeedback, both groups obtaining a substantial reduction in LARS score.…”

Section: Discussionmentioning

confidence: 78%

Nurse‐led standardized intervention for low anterior resection syndrome. A population‐based pilot study

et al. 2021

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Aim Our aim was to study the implementation of the low anterior resection syndrome (LARS) score in a clinical setting and to evaluate a nurse‐led standardized intervention for bowel dysfunction following rectal cancer surgery. Method All patients who underwent curatively intended, restorative rectal cancer resection in a single centre between 2012 and 2016 were screened using the LARS score. At clinical follow‐up, patients with major LARS were offered treatment in a nurse‐led clinic. Data were retrospectively collected from patients' electronic medical records. Results In total, 190 out of 286 (66%) patients were screened with the LARS score of whom 89 had major LARS. A total of 86 patients requested treatment for their bowel dysfunction and the majority obtained acceptable function after nurse‐led optimized conservative treatment. Seventeen patients went on to transanal irrigation, and seven patients were treated with biofeedback. Five patients were referred for surgery, three for gastroenterological evaluation. After treatment in the clinic, patients achieved a statistically significant decrease in median LARS score from 37 (interquartile range 34–39) to 31 (interquartile range 23–34) (P < 0.001), and the prevalence of major LARS fell from 95% to 53% (P < 0.001). Conclusion Screening for LARS was not optimal as one‐third of patients were not screened. The majority of patients with major LARS requested treatment for their symptoms and could be successfully treated with standardized interventions managed in a nurse‐led setting.

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“…This result showed that the nutritional level of the experimental group was superior to that of the control group at 7 days after operation. However, surgery could promote catabolism, reduce the nutritional status of patients, thereby reducing immunity and increasing the possibility of postoperative complications (17). This study found that the SAS and SDS scores in the experimental group were significantly lower than those in the control group after operation, and the difference was statistically significant (P<0.001); the SAS and SDS scores in the two groups after operation were significantly lower than those before operation, and the difference was statistically significant (P<0.001).…”

Section: Discussionmentioning

confidence: 99%

Application value of nursing intervention combined with early nutritional support in preventive stoma reversion of low rectal cancer

Zhao

et al. 2019

Oncol Lett

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Application value of nursing intervention combined with early nutritional support treatment in preventive stoma reversion of low rectal cancer was explored. Ninety-two cases of low rectal cancer patients undergoing preventive stoma reversion from January 2014 to December 2016 were retrospectively analyzed. All the patients had closed fistula 3 months after neostomy. Forty-four cases with routine nursing care were the control group; 48 cases with early nutritional support and nursing intervention were the experimental group. Nutritional status, psychological status, incidence of adverse reactions, wound infection rate, number of shaped and regular defecation were compared in the two groups. The levels of albumin, prealbumin and serum total protein in the experimental group were significantly higher than those in the control group after operation (P<0.05); the levels of albumin in the two groups after operation were significantly lower than those before operation (P<0.001). The SAS and SDS scores in the experimental group were significantly lower than those in the control group after operation (P<0.001); the SAS and SDS scores in the two groups after operation were significantly lower than those before operation (P<0.001). The number of abdominal pain, abdominal distention, diarrhea, incision infection and abdominal infection in the experimental group were less than those in the control group (P<0.05). The number of shaped and regular defecation cases in the experimental group was more than that in the control group (P<0.05). Nursing intervention combined with early nutritional support can improve the nutritional status, psychological anxiety-depression of the patients undergoing preventive stoma reversion, decrease the incidence of adverse reactions, and wound infection rate. It can also increase the shaped and regular defecation cases and is helpful for the recovery of intestinal function.

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Therapeutic Evaluation of Biofeedback Therapy in the Treatment of Anterior Resection Syndrome After Sphincter-Saving Surgery for Rectal Cancer

Cited by 41 publications

References 24 publications

Postoperative Bowel Function After Anal Sphincter-Preserving Rectal Cancer Surgery: Risks Factors, Diagnostic Modalities, and Management

Postoperative Bowel Function After Anal Sphincter-Preserving Rectal Cancer Surgery: Risks Factors, Diagnostic Modalities, and Management

Nurse‐led standardized intervention for low anterior resection syndrome. A population‐based pilot study

Application value of nursing intervention combined with early nutritional support in preventive stoma reversion of low rectal cancer

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