Prophylactic transanal irrigation for low anterior resection syndrome following rectal resection

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.

Download Full-text

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

Colorectal Disease ◽

10.1111/codi.14870 ◽

2019 ◽

Vol 22 (3) ◽

pp. 303-309 ◽

Cited By ~ 4

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

Download Full-text

Validation of the Slovenian version of the low anterior resection syndrome score for rectal cancer patients after surgery

Slovenian Journal of Public Health ◽

10.2478/sjph-2019-0019 ◽

2019 ◽

Vol 58 (4) ◽

pp. 148-154

Author(s):

Jan Grosek ◽

Jurij Aleš Košir ◽

Jerica Novak ◽

Mirko Omejc ◽

Aleš Tomažič ◽

...

Keyword(s):

Anterior Resection ◽

Low Anterior Resection ◽

Rectal Resection ◽

Low Anterior Resection Syndrome ◽

Retest Reliability ◽

Anterior Resection Syndrome ◽

Anterior Rectal Resection ◽

Lars Score ◽

Test Retest Reliability ◽

The Impact

Abstract Purpose The purpose of this study was to translate the low anterior resection syndrome (LARS) score into Slovenian and to test its validity on Slovenian patients who underwent low anterior rectal resection. Methods The LARS score was translated from English into Slovenian and then back-translated following international recommendations. The Slovenian version of the LARS questionnaire was completed by patients who underwent low anterior rectal resection between 1 January 2006 and 31 December 2010 at the University Medical Centre Ljubljana. An anchor question assessing the impact of bowel function on lifestyle was included. To assess test-retest reliability, some of the patients answered the LARS score questionnaire twice. Results A total of 100 patients (66.7%) of the 150 patients who were contacted for participation, were included in the final analysis. A total of 58 patients reported major LARS score. The LARS score was able to discriminate between patients who received radiotherapy and those who did not (p<0.001), and between total and partial mesorectal excision (p<0.001). Age was not associated with a greater LARS score (p=0.975). There was a perfect fit between the QoL category question and the LARS score in 66.0% of cases and a moderate fit was found in 24.0% of the cases, showing good convergent validity. Test-retest reliability of 51 patients showed a high intraclass correlation coefficient of 0.86. Conclusions The Slovenian translation of the LARS score is a valid tool for measuring LARS.

Download Full-text