Pre-operative short-course radiotherapy is associated with faecal incontinence after anterior resection
| Autor: | F. K. S. Welsh, G. Mitchell, W. G. A. Woods, W. F. A. Miles, M. R. McFall |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Rectum Anastomosis Stoma Postoperative Complications Interquartile range medicine Humans Fecal incontinence Aged Aged 80 and over Radiotherapy Rectal Neoplasms business.industry Incidence (epidemiology) Anastomosis Surgical Gastroenterology Total mesorectal excision Surgery Radiation therapy medicine.anatomical_structure Multivariate Analysis Female medicine.symptom business Fecal Incontinence |
| Zdroj: | Colorectal Disease. 5:563-568 |
| ISSN: | 1463-1318 1462-8910 |
| DOI: | 10.1046/j.1463-1318.2003.00480.x |
| Popis: | Objective To determine the contribution of total mesorectal excision (TME), short-course pre-operative radiotherapy (SCRT), the level of the anastomosis and other putative contributory factors to the incidence and degree of faecal incontinence after anterior resection of the rectum. Patients and methods Survivors of anterior resection of the rectum performed between February 1996 and February 2001, with a functioning anastomosis, were asked to complete a telephone questionnaire regarding their current bowel habit. Faecal incontinence was scored using the St. Mark's Incontinence Score. Results The median age of 124 patients who completed the questionnaire was 76 years. Of these, 104 patients had neoplastic disease, 66 (53%) patients exhibited some degree of incontinence, median St. Marks' Score 6, interquartile range 3–10. There was a significant association between the anastomotic level, and the St. Mark's Score (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text