Annals of Coloproctology

Display

Sort by :

Original Article

Quality of Life After a Low Anterior Resection for Rectal Cancer in Elderly Patients: Verena N.N. Kornmann, Marieke S. Walma, Marnix A.J. de Roos, Djamila Boerma, Henderik L. van Westreenen; Ann Coloproctol. 2016;32(1):27-32. Published online February 29, 2016; DOI: https://doi.org/10.3393/ac.2016.32.1.27

6,635 View
63 Download
12 Web of Science
12 Citations

Purpose

Fecal incontinence is a major concern, and its incidence increases with age. Quality of life may decrease due to fecal incontinence after both sphincter-saving surgery and a rectal resection with a permanent stoma. This study investigated quality of life, with regard to fecal incontinency, in elderly patients after rectal-cancer surgery.

Methods

All patients who underwent elective rectal surgery with anastomosis for rectal cancer between December 2008 and June 2012 at two Dutch hospitals were eligible for inclusion. The Wexner and the fecal incontinence quality of life (FIQoL) scores were collected. Young (<70 years of age) and elderly (≥70 years of age) patients were compared.

Results

Seventy-nine patients were included, of whom 19 were elderly patients (24.1%). All diverting stomas that had been placed (n = 60, 75.9%) had been closed at the time of the study. There were no differences in Wexner or FIQoL scores between the young and the elderly patients. Also, there were no differences between patients without a diverting stoma and patients in whom bowel continuity had been restored. Elderly females had significantly worse scores on the FIQoL subscales of coping/behavior (P = 0.043) and depression/self-perception (P = 0.004) than young females. Elderly females scored worse on coping/behavior (P = 0.010) and depression/self-perception (P = 0.036) than elderly males. Young and elderly males had comparable scores.

Conclusion

Quality of life with regard to fecal incontinency is worse in elderly females after sphincter-preserving surgery for rectal cancer. Patients should be informed of this impact, and a definite stoma may be considered in this patient group.

Citations

Citations to this article as recorded by

Analyzing quality of life after low anterior resection for rectal cancer
Seyed Mostafa Meshkati Yazd, Reza Shahriarirad, Shayan Almasi, Darioush Naddaffard, Saman Sheikhi, Imana Mosayebi, Kimia Goudarzi, Seyed Mohsen Ahmadi Tafti, Behnam Behboudi, Alireza Kazemeini, Mohammad Reza Keramati
Irish Journal of Medical Science (1971 -).2024; 193(6): 2643. CrossRef
Patient-reported Bowel Function and Bowel-related Quality of Life After Pelvic Radiation for Rectal Adenocarcinoma: The Impact of Radiation Fractionation and Surgical Resection
Michael K. Rooney, Brian De, Kelsey Corrigan, Grace L. Smith, Cullen Taniguchi, Bruce D. Minsky, Ethan B. Ludmir, Eugene J. Koay, Prajnan Das, Albert C. Koong, Oliver Peacock, George Chang, Y. Nancy You, Van K. Morris, Graciela Nogueras-González, Emma B.
Clinical Colorectal Cancer.2023; 22(2): 211. CrossRef
Functional outcomes and local control are acceptable following hand‐sewn colo‐anal anastomoses for rectal cancer: Results of long‐term follow‐up
David Hudson, Fiona Entriken, Rupert Hodder, Michael Warner
ANZ Journal of Surgery.2022; 92(3): 390. CrossRef
Functional Bowel Complaints and the Impact on Quality of Life After Colorectal Cancer Surgery in the Elderly
Stijn H. J. Ketelaers, Maarten van Heinsbergen, Ricardo G. Orsini, F. Jeroen Vogelaar, Joop L. M. Konsten, Grard A. P. Nieuwenhuijzen, Harm J. T. Rutten, Jacobus W. A. Burger, Johanne G. Bloemen
Frontiers in Oncology.2022;[Epub] CrossRef
Symptoms affecting quality of life after sphincter-saving rectal cancer surgery: A systematic review
Jennie Burch, Claire Taylor, Ana Wilson, Christine Norton
European Journal of Oncology Nursing.2021; 52: 101934. CrossRef
Functional outcomes after sphincter-preserving surgeries for low-lying rectal cancer: A review
Eun Jung Park, Seung Hyuk Baik
Precision and Future Medicine.2021; 5(4): 164. CrossRef
The Artificial Bowel Sphincter in the Treatment of Fecal Incontinence, Long-term Complications
Aart A. van der Wilt, Stéphanie O. Breukink, Rosel Sturkenboom, Laurents P. Stassen, Cornelius G. Baeten, Jarno Melenhorst
Diseases of the Colon & Rectum.2020; 63(8): 1134. CrossRef
Health-Related Quality of Life in Older Adults with Colorectal Cancer
Evan Lapinsky, Lillian C. Man, Amy R. MacKenzie
Current Oncology Reports.2019;[Epub] CrossRef
Quality of life and anterior resection syndrome after surgery for mid to low rectal cancer: A cross-sectional study
Loris Trenti, Ana Galvez, Sebastiano Biondo, Alejandro Solis, Francesc Vallribera-Valls, Eloy Espin-Basany, Alvaro Garcia-Granero, Esther Kreisler
European Journal of Surgical Oncology.2018; 44(7): 1031. CrossRef
Late assessment of quality of life in patients with rectal carcinoma: comparison between sphincter preservation and definitive colostomy
Mariane Messias Reis Lima Silva, Samuel Aguiar Junior, Juliana de Aguiar Pastore, Érica Maria Monteiro Santos, Fábio de Oliveira Ferreira, Ranyell Matheus S. B. Spencer, Vinicius F. Calsavara, Wilson Toshihiko Nakagawa, Ademar Lopes
International Journal of Colorectal Disease.2018; 33(8): 1039. CrossRef
Chirurgische Therapie des Karzinoms des unteren Rektumdrittels
A. D. Rink
coloproctology.2017; 39(6): 411. CrossRef
Quality of Life After a Low Anterior Resection in Elderly Patients
Byung Chun Kim
Annals of Coloproctology.2016; 32(1): 5. CrossRef

Erratum

Erratum: Marieke S. Walma, Verena N. N. Kornmann, Djamila Boerma, Marnix A. J. de Roos, Henderik L. van Westreenen; Ann Coloproctol. 2015;31(4):167-167. Published online August 31, 2015; DOI: https://doi.org/10.3393/ac.2015.31.4.167

3,702 View
16 Download

PDF

Original Article

Predictors of Fecal Incontinence and Related Quality of Life After a Total Mesorectal Excision With Primary Anastomosis for Patients With Rectal Cancer: Marieke S. Walma, Verena N. N. Kornmann, Djamila Boerma, Marnix A. J. de Roos, Henderik L. van Westreenen; Ann Coloproctol. 2015;31(1):23-28. Published online February 28, 2015; DOI: https://doi.org/10.3393/ac.2015.31.1.23

7,317 View
48 Download
44 Web of Science
40 Citations

Abstract PDF

Purpose

After total mesorectal excision (TME) with primary anastomosis for patients with rectal cancer, the quality of life (QoL) may be decreased due to fecal incontinence. This study aimed to identify predictors of fecal incontinence and related QoL.

Methods

Patients who underwent TME with primary anastomosis for rectal cancer between December 2008 and June 2012 completed the fecal incontinence quality of life scale (FIQoL) and Wexner incontinence score. Factors associated with these scores were identified using a linear regression analysis.

Results

A total of 80 patients were included. Multivariate analysis identified a diverting ileostomy (n = 58) as an independent predictor of an unfavorable outcome on the FIQoL subscale coping/behavior (P = 0.041). Ileostomy closure within and after 3 months resulted in median Wexner scores of 5.0 (interquartile range [IQR], 2.5-8.0) and 10.5 (IQR, 6.0-13.8), respectively (P < 0.001). The median FIQoL score was 15.0 (IQR, 13.1-16.0) for stoma closure within 3 months versus 12.0 (IQR, 10.5-13.9) for closure after 3 months (P = 0.001).

Conclusion

A diverting ileostomy is a predictor for an impaired FIQoL after a TME for rectal cancer. Stoma reversal within 3 months showed better outcomes than reversal after 3 months. Patients with a diverting ileostomy should be informed about the impaired QoL, even after stoma closure.

Citations

Citations to this article as recorded by

Clinical analysis of different intestinal reconstruction methods after primary cytoreductive surgery combined with rectal resection for advanced ovarian cancer
Huimin Wang, Xiaocen Li, Ying Jiang, Jinxin Chen, Rong Cao, Jingru Zhang
Frontiers in Oncology.2025;[Epub] CrossRef
Y después de la cirugía, ¿qué hay de nuevo para el superviviente de cáncer de recto?
Arturo Cirera de Tudela, Franco Marinello, Eloy Espín Basany
Cirugía Española.2025; 103(4): 237. CrossRef
And after surgery, what’s new for the rectal cancer survivor?
Arturo Cirera de Tudela, Franco Marinello, Eloy Espín Basany
Cirugía Española (English Edition).2025; 103(4): 237. CrossRef
Neoadjuvante Therapie beim Rektumkarzinom – für wen, wie und mit welchem Ziel?
Franziska Willis, Thilo Schwandner, Martin Reichert, Anca-Laura Amati, Daniel Habermehl, Martin Schneider
Zentralblatt für Chirurgie - Zeitschrift für Allgemeine, Viszeral-, Thorax- und Gefäßchirurgie.2025; 150(02): 140. CrossRef
Early diverting stoma closure is feasible and safe: results from a before-and-after study on the implementation of an early closure protocol at a tertiary referral center
L. Blanco Terés, C. Cerdán Santacruz, A. Correa Bonito, L. Delgado Búrdalo, A. Rodríguez Sánchez, E. Bermejo Marcos, J. García Septiem, E. Martín Pérez
Techniques in Coloproctology.2024;[Epub] CrossRef
Factors affecting timing of loop ileostomy closure: a regional centre's experience with 106 patients
Tedman Cheuk‐Yiu Chau, Hung Nguyen, Iain K. Robertson, Xavier Harvey, Brendan Tan, Mitchell Tan, Caroline M. Yang
ANZ Journal of Surgery.2024; 94(1-2): 193. CrossRef
The Effect of a Temporary Stoma on Long-term Functional Outcomes Following Surgery for Rectal Cancer
Sanne J. Verkuijl, Jara E. Jonker, Edgar J.B. Furnée, Wendy Kelder, Christiaan Hoff, Daniel A. Hess, Fennie Wit, Ronald J. Zijlstra, Monika Trzpis, Paul M.A. Broens
Diseases of the Colon & Rectum.2024; 67(2): 291. CrossRef
Long-term bowel functional outcomes following anal sphincter-preserving surgery for upper and middle rectal cancer: a single-center longitudinal study
Ahmad Sakr, Seung Yoon Yang, Min Soo Cho, Hyuk Hur, Byung Soh Min, Kang Young Lee, Nam Kyu Kim
Annals of Coloproctology.2024; 40(1): 27. CrossRef
The Effect of Pelvic Floor Muscle Exercises on Bowel Evacuation and Quality of Life in Following Intestinal Ostomy Closure
Dilek Aktaş, Sema Koçaşlı, Zehra Göçmen Baykara
Journal of Wound, Ostomy & Continence Nursing.2024; 51(3): 221. CrossRef
Nomogram for predicting the probability of rectal anastomotic re-leakage after stoma closure: a retrospective study
Yuegang Li, Gang Hu, Jinzhu Zhang, Wenlong Qiu, Shiwen Mei, Xishan Wang, Jianqiang Tang
BMC Cancer.2024;[Epub] CrossRef
Quality of life and functional outcome of rectal cancer patients: A prospective cohort study
Alexander J. Pennings, Geraldine R. Vink, Sander van Kuijk, Jarno Melenhorst, Geerard L. Beets, Anne M. May, Stephanie O. Breukink
Colorectal Disease.2024; 26(11): 1892. CrossRef
Causes and costs of delayed closure of ileostomies in rectal cancer patients in Australasian units
Jon Barnard, Tony Milne, Keith Teo, Maree Weston, Lincoln Israel, Sze‐Lin Peng
ANZ Journal of Surgery.2023; 93(3): 636. CrossRef
One-Year Treatment-Related Side Effects and Quality of Life After Chemoradiotherapy in Squamous Cell Carcinoma of the Anus
Anna Cecilie Lefèvre, Eva Serup-Hansen, Katrine Smedegaard Storm, Karen Lycke Wind, Camilla Kronborg, Karen-Lise Garm Spindler
International Journal of Radiation Oncology*Biology*Physics.2023; 115(5): 1165. CrossRef
Short- and long-term outcomes of laparoscopic low anterior resection with “dog ear” invagination anastomosis for mid and distal rectal cancer a propensity score matched analysis
L. Zhang, Z. Xie, L. Gong, X. Lv
Frontiers in Surgery.2023;[Epub] CrossRef
Management of Low Anterior Resection Syndrome (LARS) Following Resection for Rectal Cancer
Harald Rosen, Christian G. Sebesta, Christian Sebesta
Cancers.2023; 15(3): 778. CrossRef
Patient-reported Bowel Function and Bowel-related Quality of Life After Pelvic Radiation for Rectal Adenocarcinoma: The Impact of Radiation Fractionation and Surgical Resection
Michael K. Rooney, Brian De, Kelsey Corrigan, Grace L. Smith, Cullen Taniguchi, Bruce D. Minsky, Ethan B. Ludmir, Eugene J. Koay, Prajnan Das, Albert C. Koong, Oliver Peacock, George Chang, Y. Nancy You, Van K. Morris, Graciela Nogueras-González, Emma B.
Clinical Colorectal Cancer.2023; 22(2): 211. CrossRef
Prolonged diversion after ileal pouch‐anal anastomosis: Is it safe to wait?
Cillian Clancy, Tara M. Connelly, Xue Jia, Jeremy Lipman, Amy L. Lightner, Tracy Hull, Scott R. Steele, Stefan D. Holubar
Colorectal Disease.2023; 25(6): 1187. CrossRef
The impact of prolonged delay to loop ileostomy closure on postoperative morbidity and hospital stay: A retrospective cohort study
Greg A. Turner, Kari A. Clifford, Rossi Holloway, John C. Woodfield, Mark Thompson‐Fawcett
Colorectal Disease.2022; 24(7): 854. CrossRef
Prevalence and Risk Factors of Low Anterior Resection Syndrome in Epithelial Ovarian Cancer Surgery
Iqra Yasin, Afshan Saeed Usmani, Jibran Mohsin, Rehan Bin Asif, Nazish Kahlid, Aamir Ali Syed
Cureus.2022;[Epub] CrossRef
Patient-Reported Bowel and Urinary Function in Long-Term Survivors of Squamous Cell Carcinoma of the Anus Treated With Definitive Intensity Modulated Radiation Therapy And Concurrent Chemotherapy
Brian De, Kelsey L. Corrigan, Michael K. Rooney, Ethan B. Ludmir, Prajnan Das, Grace L. Smith, Cullen M. Taniguchi, Bruce D. Minsky, Eugene J. Koay, Albert Koong, Van K. Morris, Craig A. Messick, Y. Nancy You, George J. Chang, O. Lenaine Westney, Graciela
International Journal of Radiation Oncology*Biology*Physics.2022; 114(1): 78. CrossRef
The Longitudinal Course of Low-anterior Resection Syndrome
Chris Varghese, Cameron I. Wells, Greg O’Grady, Peter Christensen, Ian P. Bissett, Celia Keane
Annals of Surgery.2022; 276(1): 46. CrossRef
The role of colonic motility in low anterior resection syndrome
Chris Varghese, Cameron I. Wells, Ian P. Bissett, Gregory O’Grady, Celia Keane
Frontiers in Oncology.2022;[Epub] CrossRef
Symptoms of anal incontinence and quality of life: a psychometric study of the Norwegian version of the ICIQ-B amongst hospital outpatients
Susan Saga, Anne Guttormsen Vinsnes, Christine Norton, Gørill Haugan
Archives of Public Health.2022;[Epub] CrossRef
Impact of a defunctioning ileostomy and time to stoma closure on bowel function after low anterior resection for rectal cancer: a systematic review and meta-analysis
I. Vogel, N. Reeves, P. J. Tanis, W. A. Bemelman, J. Torkington, R. Hompes, J. A. Cornish
Techniques in Coloproctology.2021; 25(7): 751. CrossRef
Loop-ileostomy reversal in a 23-h stay setting is safe with high patient satisfaction
Kevin Afshari, Maziar Nikberg, Kenneth Smedh, Abbas Chabok
Scandinavian Journal of Gastroenterology.2021; 56(9): 1126. CrossRef
Low anterior resection syndrome: can it be prevented?
Alfredo Annicchiarico, Jacopo Martellucci, Stefano Solari, Maximilian Scheiterle, Carlo Bergamini, Paolo Prosperi
International Journal of Colorectal Disease.2021; 36(12): 2535. CrossRef
Risk factors for developing anorectal dysfunction after anterior resection
Kevin Afshari, Kenneth Smedh, Philippe Wagner, Abbas Chabok, Maziar Nikberg
International Journal of Colorectal Disease.2021; 36(12): 2697. CrossRef
Impact of temporary ileostomy on long‐term quality of life and bowel function: a systematic review and meta‐analysis
Celia Keane, Puja Sharma, Lance Yuan, Ian Bissett, Greg O'Grady
ANZ Journal of Surgery.2020; 90(5): 687. CrossRef
Low anterior resection syndrome (LARS) in ovarian cancer patients - A multi-centre comparative cohort study
Felix Harpain, Marlene Kranawetter, Tobias Zott, Ioannis I. Lazaridis, Marc-Olivier Guenin, Marijana Ninkovic, Irmgard E. Kronberger, Ingrid Tapiolas, Eloy Espin Basany, Bernhard Dauser, Friedrich Herbst, Cherry Koh, Anton Stift, Bela Teleky, Alexander Re
International Journal of Surgery.2020; 78: 97. CrossRef
Functional outcomes from a randomized trial of early closure of temporary ileostomy after rectal excision for cancer
C Keane, J Park, S Öberg, A Wedin, D Bock, G O'Grady, I Bissett, J Rosenberg, E Angenete
British Journal of Surgery.2019; 106(5): 645. CrossRef
Low anterior resection syndrome (LARS) in patients with epithelial ovarian cancer after primary debulking surgery
Marlene Kranawetter, Beyhan Ataseven, Christoph Grimm, Stephanie Schneider, Stefan Riss, Pier Alesina, Sonia Prader, Martin K. Walz, Felix Harpain, Anton Stift, Florian Heitz, Alexander Reinthaller, Stephan Polterauer, Philipp Harter, Andreas du Bois
Gynecologic Oncology.2019; 154(3): 577. CrossRef
Predictive Factors for Bowel Dysfunction After Sphincter-Preserving Surgery for Rectal Cancer: A Single-Center Cross-sectional Study
Youn Young Park, Seung Yoon Yang, Yoon Dae Han, Min Soo Cho, Hyuk Hur, Byung Soh Min, Kang Young Lee, Nam Kyu Kim
Diseases of the Colon & Rectum.2019; 62(8): 925. CrossRef
Loop-ileostomy reversal—patient-related characteristics influencing time to closure
Carl Pontus Gustafsson, Ulf Gunnarsson, Ursula Dahlstrand, Ulrik Lindforss
International Journal of Colorectal Disease.2018; 33(5): 593. CrossRef
Protocol for a multicentre, dual prospective and retrospective cohort study investigating timing of ileostomy closure after anterior resection for rectal cancer: The CLOSurE of Ileostomy Timing (CLOSE-IT) study
Peter G Vaughan-Shaw, Katherine Gash, Katie Adams, Abigail E Vallance, Sophie A Pilkington, Jared Torkington, Julie A Cornish
BMJ Open.2018; 8(10): e023305. CrossRef
Physiotherapy and Anterior Resection Syndrome (PARiS) trial: feasibility study protocol
Anna Powell-Chandler, Buddug Rees, Carole Broad, Jared Torkington, Claire O’Neill, Julie A Cornish
BMJ Open.2018; 8(6): e021855. CrossRef
Fecal incontinence - Challenges and solutions
Nallely Saldana Ruiz, Andreas M Kaiser
World Journal of Gastroenterology.2017; 23(1): 11. CrossRef
Is the interval from surgery to ileostomy closure a risk factor for low anterior resection syndrome?
R. M. Jiménez‐Rodríguez, J. J. Segura‐Sampedro, I. Rivero‐Belenchón, J. M. Díaz Pavón, A. M. García Cabrera, J. M. Vazquez Monchul, J. Padillo, F. de la Portilla
Colorectal Disease.2017; 19(5): 485. CrossRef
Transanal endoscopic operation for rectal cancer after neoadjuvant therapy
José Joaquim Ribeiro da Rocha, Mário Vinícius Angelete Alvarez Bernardes, Marley Ribeiro Feitosa, Camila Perazzoli, Vanessa Foresto Machado, Fernanda Maris Peria, Harley Francisco de Oliveira, Omar Feres
Acta Cirurgica Brasileira.2016; 31(suppl 1): 29. CrossRef
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)
Luis Miguel Jimenez-Gomez, Eloy Espin-Basany, Marc Marti-Gallostra, Jose Luis Sanchez-Garcia, Francesc Vallribera-Valls, Manuel Armengol-Carrasco
International Journal of Colorectal Disease.2016; 31(4): 813. CrossRef
Can the Timing of Ileostomy Reversal Influence Functional Outcome?
Chang-Nam Kim
Annals of Coloproctology.2015; 31(1): 5. CrossRef

First
Prev
Page of 1
Next
Last

Search