Changes to gastrointestinal function after surgery for colorectal cancer
| Autor: | David Lam, O. M. Jones |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Ileus Gastrointestinal Diseases Colorectal cancer medicine.medical_treatment 030230 surgery 03 medical and health sciences Postoperative Complications 0302 clinical medicine medicine Humans Fecal incontinence Adverse effect Colectomy business.industry Gastroenterology Cancer Perioperative medicine.disease Surgery 030220 oncology & carcinogenesis Quality of Life Female medicine.symptom Colorectal Neoplasms business Gastrointestinal function |
| Zdroj: | Best Practice & Research Clinical Gastroenterology. :101705 |
| ISSN: | 1521-6918 |
| Popis: | Bowel function is increasingly considered as an important outcome for patients undergoing surgery for colorectal cancer. Increasing technical skills and technological advances have meant fewer patients require a long-term stoma but this comes at the cost, often, of poor function. With a larger range of treatment options available for a given cancer, both function and oncology should be considered in parallel when counselling patients before surgery. In the perioperative phase, bowel function can be improved with minimally invasive surgery and enhanced recovery after surgery protocols, with limited evidence for targeted medical therapies. Early detection and sound management of surgical complications such as anastomotic leak and stricture can mitigate their adverse effects on bowel function. Long-term gastrointestinal dysfunction manifests as diarrhoea and low anterior resection syndrome for colon and rectal cancer respectively. Multi-modal strategies for low anterior resection syndrome are emerging to improve significantly quality of life after restorative rectal cancer surgery. |
| Databáze: | OpenAIRE |
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