Functional outcome of low rectal resection evaluated by anorectal manometry

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F70883521%3A28150%2F18%3A63517989" target="_blank" >RIV/70883521:28150/18:63517989 - isvavai.cz</a>

Alternative codes found

RIV/00843989:_____/18:E0107119

Result on the web

<a href="http://dx.doi.org/10.1111/ans.14207" target="_blank" >http://dx.doi.org/10.1111/ans.14207</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1111/ans.14207" target="_blank" >10.1111/ans.14207</a>

Result language

angličtina

Original language name

Functional outcome of low rectal resection evaluated by anorectal manometry

Original language description

BACKGROUND: Low anterior resection syndrome (LARS) covers disordered bowel function after rectal resection, leading to deterioration in patients&apos; quality of life. The aim of this study was to evaluate anorectal function after laparoscopic low anterior resection (LAR) by means of standardized instruments. METHODS: This was a prospective clinical cohort study conducted in a single institution to assess functional outcome of patients 1 year after laparoscopic LAR by means of LARS score and high-resolution anorectal manometry. RESULTS: In total, 65 patients were enrolled in the study. Mean tumour height was 9.4 ± 1.8 cm; total mesorectal excision during laparoscopic LAR with low end-to-end colorectal anastomosis was performed in all patients. One year after the surgery, minor LARS was detected in 33.9% of patients, major LARS in 36.9% of patients. Anorectal manometry revealed decreased resting pressure and normal squeeze pressure of the anal sphincters in the majority of our patients. Rectal compliance and rectal volume tolerability (first sensation, urge to defaecate and discomfort volume) were significantly reduced. The statistical testing of the correlation between LARS and manometry parameters showed that with increasing seriousness of LARS, values of some parameters (resting pressure, first sensation, urge to defaecate, discomfort volume and rectal compliance) were reduced. CONCLUSION: This study indicates that the majority of patients after laparoscopic LAR experience symptoms of minor or major LARS. These patients have decreased resting anal sphincter pressures, decreased rectal volume tolerability and decreased rectal compliance.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30212 - Surgery

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

ANZ journal of surgery

ISSN

1445-1433

e-ISSN

—

Volume of the periodical

Neuveden

Issue of the periodical within the volume

Neuveden

Country of publishing house

AU - AUSTRALIA

Number of pages

5

Pages from-to

1-5

UT code for WoS article

000434214700007

EID of the result in the Scopus database

2-s2.0-85048214977