A novel bowel rehabilitation programme after total mesorectal excision for rectal cancer: the BOREAL pilot study
| Autor: | Deena Harji, Arthur Berger, Benjamin Fernandez, Eric Rullier, Lara Boissieras, Quentin Denost, Frank Zerbib, M. Capdepont |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Pelvic floor Percutaneous business.industry Rectal Neoplasms medicine.medical_treatment Gastroenterology Colostomy Rectum Pilot Projects Transanal irrigation Enema Syndrome Total mesorectal excision Surgery medicine.anatomical_structure Postoperative Complications Quality of life Concomitant medicine Quality of Life Humans business |
| Zdroj: | Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and IrelandREFERENCES. 23(10) |
| ISSN: | 1463-1318 |
| Popis: | AIM Low anterior resection syndrome (LARS) following sphincter-preserving surgery for rectal cancer has a high prevalence, with an impact on long-term bowel dysfunction and quality of life. We designed the bowel rehabilitation programme (BOREAL) as a proactive strategy to assess and treat patients with LARS. The BOREAL programme consists of a stepwise approach of escalating treatments: medical management (steps 0-1), pelvic floor physiotherapy, biofeedback and transanal irrigation (step 2), sacral nerve neuromodulation (step 3), percutaneous endoscopic caecostomy and anterograde enema (step 4) and definitive colostomy (step 5). METHODS A pilot study was undertaken to assess the feasibility of collecting LARS data routinely with the parallel implementation of the BOREAL programme. All patients who underwent total mesorectal excision for rectal cancer between February 2017 and March 2019 were included. LARS was assessed using the LARS score and the Wexner Faecal Incontinence score at 30 days and 3, 6, 9 and 12 months postoperatively. A good functional result was considered to be a combined LARS score |
| Databáze: | OpenAIRE |
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