Interventions to reduce dehydration related to defunctioning loop ileostomy after low anterior resection in rectal cancer: a prospective cohort study

2020 ◽  
Vol 90 (9) ◽  
pp. 1627-1631 ◽  
Author(s):  
Eihab Munshi ◽  
Eva Bengtsson ◽  
Karin Blomberg ◽  
Ingvar Syk ◽  
Pamela Buchwald
Keyword(s):  
Rectal Cancer ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Anterior Resection ◽  
Prospective Cohort ◽  
Low Anterior Resection ◽  
Loop Ileostomy

Detection of early anastomotic leakage by intraperitoneal microdialysis after low anterior resection for rectal cancer: a prospective cohort study

2019 ◽  
Vol 21 (12) ◽  
pp. 1387-1396 ◽  
Author(s):  
M. B. Ellebæk ◽  
H. B. Rahr ◽  
S. Boye ◽  
C. Fristrup ◽  
N. Qvist
Keyword(s):  
Rectal Cancer ◽  
Cohort Study ◽  
Anastomotic Leakage ◽  
Prospective Cohort Study ◽  
Anterior Resection ◽  
Prospective Cohort ◽  
Low Anterior Resection

scholarly journals The association of age with decline in renal function after low anterior resection and loop ileostomy for rectal cancer: a retrospective cohort prognostic factor study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amal Rhemouga ◽  
Stefan Buettner ◽  
Wolf O. Bechstein ◽  
Guido Woeste ◽  
Teresa Schreckenbach
Keyword(s):  
Rectal Cancer ◽  
Rectal Carcinoma ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Older Patients ◽  
Retrospective Cohort ◽  
Loop Ileostomy ◽  
Linear Regression Analysis ◽  
Multivariate Linear Regression Analysis ◽  
Group B

Abstract Background Low anterior resection (LAR) is often performed with diverting loop ileostomy (DLI) for anastomotic protection in patients with rectal cancer. We aim to analyze, if older patients are more prone to a decline in kidney function following creation and closure of DLI after LAR for rectal carcinoma versus younger patients. Methods A retrospective cohort study from a database including 151 patients undergoing LAR for rectal carcinoma with DLI was used. Patients were divided in two age groups (Group A: <65 years, n = 79; Group B: ≥65 years, n = 72). For 123 patients undergoing DLI reversal prognostic factors for an impairment of serum creatinine (SCr) and estimated glomerular filtration rate (eGFR) 3 months after DLI reversal was analyzed using a multivariate linear regression analysis. Results SCr before LAR(T0) was significant higher in Group B (P = 0.04). Accordingly, the eGFR at T0 in group B was significantly lower (P < 0.001). No patients need to undergo hemodialysis after LAR or DLI reversal. Age and SCr at T0were able to statistically significant predict an increase in SCr (P<0.001) and eGFR (P=0.001) three months after DLI reversal (The R² for the overall model was .82 (adjusted R² = .68). Conclusion DLI creation may result in a reduction of eGFR in older patients 3 months after DLI closure. Apart from this, patients do not have a higher morbidity after creation and closure of DLI resulting from LAR regardless of their age.

The impact of timing of stoma closure on low anterior resection syndrome in patient who underwent low anterior resection for rectal cancer

2021 ◽  
pp. 126-134
Author(s):  
Hemn Hussain Kaka Ali ◽  
Qalandar Hussein Abdulkarim ◽  
Karzan Seerwan ◽  
Barham M. M .Salih
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Anal Verge ◽  
Loop Ileostomy ◽  
Low Anterior Resection Syndrome ◽  
Anterior Resection Syndrome ◽  
Closure Of Ileostomy ◽  
The Mean ◽  
The Impact

This is a multi-center retrospective study of patients underwent low anterior resection for rectal cancer. Ileostomy had been done to protect low lying Colo-rectal anastomosis, closure of ileostomy had been delayed in some patients due to patient own will, surgical complications (anastomotic leak) or coarse of chemotherapy. This study aimed to find the effect of temporary ileostomy on post-operative bowel defunction which is called Low anterior resection syndrome (LARS), and include; urgency, difficulty in emptying of bowel, and incontinence for feces and flatus.  A total of 50 patients included in this study, the age ranges from the 19 to 80 years old with a mean age of 51.96 years. The total number of males was (33, %66). Majority of patients were overweight (21, 42%). The distance of tumors from the anal verge were less than 10 cm in (31,62%). The mean duration of fecal diversion was 7.17 months. Loop ileostomy were closed before six months in (27,54%). The mean duration of diversion of patients developed no LARS was 6.87 months which is shorter than those of developed LARS (7.31). Lower BMI patients are more prone to develop LARS, while Obese patients are more susceptible to develop major LARS. Nineteen cases developed LARS among those patient’s ileostomy closed before six months, and 15 cases developed LARS in those ileostomies closed after six months.    

scholarly journals Impact of Androgens on Sexual Function in Women With Rectal Cancer – A Prospective Cohort Study

2021 ◽  
Author(s):  
Annika Svanström Röjvall ◽  
Christian Buchli ◽  
Angelique Flöter Rådestad ◽  
Anna Martling ◽  
Josefin Segelman
Keyword(s):  
Rectal Cancer ◽  
Cohort Study ◽  
Sexual Function ◽  
Prospective Cohort Study ◽  
Prospective Cohort

A Prospective Cohort Study of Rectal Cancer Risk in Relation to Active Cigarette Smoking and Passive Smoke Exposure

2008 ◽  
Vol 18 (1) ◽  
pp. 28-35 ◽  
Author(s):  
Craig M. Hooker ◽  
Lisa Gallicchio ◽  
Jeanine M. Genkinger ◽  
George W. Comstock ◽  
Anthony J. Alberg
Keyword(s):  
Rectal Cancer ◽  
Cohort Study ◽  
Cancer Risk ◽  
Cigarette Smoking ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Smoke Exposure ◽  
Passive Smoke

scholarly journals Meat and Fish Consumption, APCGene Mutations and hMLH1 Expression in Colon and Rectal Cancer: a Prospective Cohort Study (The Netherlands)

2005 ◽  
Vol 16 (9) ◽  
pp. 1041-1054 ◽  
Author(s):  
Margreet Lüchtenborg ◽  
Matty P. Weijenberg ◽  
Anton F. P. M. de Goeij ◽  
Petra A. Wark ◽  
Mirian Brink ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Cohort Study ◽  
The Netherlands ◽  
Prospective Cohort Study ◽  
Fish Consumption ◽  
Prospective Cohort ◽  
Colon And Rectal Cancer

scholarly journals Simplifying Laparoscopic Surgery for Left Side Colon and Rectal Cancer Using Linear Stapler for Vascular Ligation: A Prospective Cohort Study

2017 ◽  
Vol 08 (04) ◽  
pp. 341-348
Author(s):  
Masanori Naito ◽  
Takeo Sato ◽  
Takatoshi Nakamura ◽  
Takahiro Yamanashi ◽  
Hirohisa Miura ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Cohort Study ◽  
Laparoscopic Surgery ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Linear Stapler ◽  
Colon And Rectal Cancer ◽  
Vascular Ligation
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