scholarly journals Randomized clinical trial of prophylactic transanal irrigation versus supportive therapy to prevent symptoms of low anterior resection syndrome after rectal resection

BJS Open ◽  
2019 ◽  
Author(s):  
H. R. Rosen ◽  
W. Kneist ◽  
A. Fürst ◽  
G. Krämer ◽  
J. Hebenstreit ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Rectal Resection ◽  
Supportive Therapy ◽  
Low Anterior Resection Syndrome ◽  
Anterior Resection Syndrome ◽  
Transanal Irrigation

scholarly journals Prophylactic transanal irrigation for low anterior resection syndrome following rectal resection

2017 ◽  
Vol 39 (5) ◽  
pp. 341-343
Author(s):  
H. Rosen ◽  
J. Hebenstreit ◽  
G. Möslein ◽  
W. Kneist ◽  
G. Liebig-Hörl ◽  
...  
Keyword(s):  
Anterior Resection ◽  
Low Anterior Resection ◽  
Rectal Resection ◽  
Low Anterior Resection Syndrome ◽  
Anterior Resection Syndrome ◽  
Transanal Irrigation

Feasibility Study of Transanal Irrigation Using a Colostomy Irrigation System in Patients with Low Anterior Resection Syndrome

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Beatriz Deoti e Silva Rodrigues ◽  
Franciele Rodrigues ◽  
Kelly C.L.R. Buzatti ◽  
Renato G. Campanati ◽  
Magda M. Profeta da Luz ◽  
...  
Keyword(s):  
Feasibility Study ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Irrigation System ◽  
Low Anterior Resection Syndrome ◽  
Anterior Resection Syndrome ◽  
Transanal Irrigation ◽  
Colostomy Irrigation

Transanal irrigation improves quality of life in patients with low anterior resection syndrome

2011 ◽  
Vol 13 (10) ◽  
pp. e335-e338 ◽  
Author(s):  
H. Rosen ◽  
J. Robert-Yap ◽  
G. Tentschert ◽  
M. Lechner ◽  
B. Roche
Keyword(s):  
Quality Of Life ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Low Anterior Resection Syndrome ◽  
Anterior Resection Syndrome ◽  
Transanal Irrigation

An insight to medical therapy for Anterior resection syndrome

2021 ◽  
pp. 1-2
Author(s):  
Nimra Shakeel ◽  
Muhammad Umar Raza ◽  
Ahla Jasim
Keyword(s):  
Colorectal Cancer ◽  
Clinical Trial ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Receptor Antagonists ◽  
Double Blind ◽  
Lower Rectum ◽  
Low Anterior Resection Syndrome ◽  
Altered Expression ◽  
Anterior Resection Syndrome

Colorectal cancer ranks as the third most common type of cancer in the world. One of the most common types of surgery instituted to eliminate cancer lesion in the lower rectum is low anterior resection.1 About one-third patients develop low anterior resection syndrome/ anterior resection syndrome (LARS/ARS) following this surgery, which comprises of painful defecation, stool urgency and frequency, inability to discriminate between flatus and stool, diaper dependency, difficulty holding stools as well as incontinence which leads to extremely poor quality of life.1 Surgery, as well as the radiotherapy, is inflicted in the development of this syndrome since both results in some form of damage to the innervations of the anal sphincter and rectum.2 Neo-rectum produced from surgery cannot also hold stool for long, which also contributes to the symptoms of this syndrome.2 Anterior resection syndrome often fails to remit and becomes a chronic ailment for the colorectal cancer survivors, thus causing significant malfunction and distress to their lives.3 Very little research has focused on the management of LARS/ARS. Symptoms of LARS/ARS seem to resemble that of diarrhoea- predominant irritable bowel syndrome (IBS-D) and studies have shown that these symptoms may be the result of altered expression of serotonin receptors.4,5 Ryohei Itagaki et al. in their clinical trial demonstrated the efficacy of 5-HT3 receptor antagonists in reducing symptoms of LARS/ARS.5 In this small trial a 5-HT3 receptor antagonist, ramosetron was given to the patients for one month and noticed that it produced significant reductions in stool urgency as well as the number of stools per day.5 These results indicate that therapeutic options which have demonstrated efficacy against IBS-D such as 5-HT3 receptor antagonists and opioid receptor agonists may prove efficacious in reducing symptoms of LARS/ARS.6 Loperamide has since long proven to be a potent anti-diarrhoeal agent and has established its efficacy in treating IBS-D in several clinical trials.7 In a double-blind clinical trial conducted by P S Efskind et al, loperamide produced improvement in stool consistency and frequency throughout the five weeks of treatment in patients with IBS-D.7 Continuous...

Using transanal irrigation in the management of low anterior resection syndrome: a service audit

2021 ◽  
Vol 30 (21) ◽  
pp. 1226-1230
Author(s):  
Rebecca Embleton ◽  
Michelle Henderson
Keyword(s):  
Anterior Resection ◽  
Low Anterior Resection ◽  
Bowel Cancer ◽  
Low Anterior Resection Syndrome ◽  
Anterior Resection Syndrome ◽  
Transanal Irrigation ◽  
Retrospective Audit ◽  
Improved Outcomes ◽  
Bowel Movements ◽  
Optimum Volume

Low anterior resection syndrome (LARS) is a collection of symptoms that can occur as a result of a low anterior resection for bowel cancer. Transanal irrigation (TAI) can be used to manage these symptoms. This article describes a retrospective audit of 15 patients who were using TAI to manage symptoms of LARS. The aim of the audit was to ascertain whether the use of TAI improved outcomes for these patients. The data suggest that TAI has reduced both the frequency of bowel movements and episodes of faecal incontinence. Those patients using higher volumes of water seem to have experienced more benefit than those patients using lower volumes of water. These findings are consistent with current literature around TAI for LARS and suggest research into optimum volume of water would be beneficial.

A randomized trial comparing transanal irrigation and percutaneous tibial nerve stimulation in the management of low anterior resection syndrome

2019 ◽  
Vol 22 (3) ◽  
pp. 303-309 ◽  
Author(s):  
J. M. Enriquez‐Navascues ◽  
I. Labaka‐Arteaga ◽  
I. Aguirre‐Allende ◽  
M. Artola‐Etxeberria ◽  
Y. Saralegui‐Ansorena ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Nerve Stimulation ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Tibial Nerve ◽  
Percutaneous Tibial Nerve Stimulation ◽  
Low Anterior Resection Syndrome ◽  
Anterior Resection Syndrome ◽  
Transanal Irrigation ◽  
Tibial Nerve Stimulation
Sign in / Sign up

Export Citation Format

Share Document