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Quality of Life after Low Anterior Resection and Temporary Loop Ileostomy
- Source :
- Diseases of the Colon & Rectum. 51:218-222
- Publication Year :
- 2008
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2008.
-
Abstract
- Low anterior resection has become the operation of choice for mid rectal or low rectal cancer. A defunctioning stoma is routinely created at some centers to decrease the risk of leakage requiring surgical intervention. This study was designed to evaluate the quality of life in patients undergoing low anterior resection with a temporary ileostomy. A prospective longitudinal study was conducted in 22 patients with rectal cancer who underwent low anterior resection with a loop ileostomy. Quality of life was assessed by using the European Organization for Research and Treatment of Cancer QLQ-C30 and QLQ-CR38 questionnaires. Twenty-five patients who underwent high anterior resection for rectosigmoid cancer were studied concurrently to evaluate the impact of major colorectal resection without a stoma. Patients’ scores on the quality of life questionnaires generally improved after high anterior resection; however, for patients who underwent low anterior resection, the scores for physical and role functioning before ileostomy closure were worse than the preoperative values. The scores on the quality of life questionnaires generally improved after ileostomy closure. Ileostomy closure required a short hospital stay and was rarely associated with complications. Patients who underwent low anterior resection with ileostomy had significant reductions in physical and role functioning, which apparently improved after ileostomy closure. Similar declines in these quality of life variables were not found in patients who underwent high anterior resection. A temporary ileostomy should be created in selected patients with the highest risk of anastomotic leakage. Increased resources for not only surgical care but also for stoma therapy are necessary for patients who undergo low anterior resection with a temporary ileostomy.
- Subjects :
- Adult
Male
medicine.medical_specialty
Colorectal cancer
Loop ileostomy
medicine.medical_treatment
Ileostomy
Quality of life
Surveys and Questionnaires
medicine
Humans
Prospective Studies
Prospective cohort study
Colectomy
Aged
Aged, 80 and over
Low Anterior Resection
Rectal Neoplasms
business.industry
Gastroenterology
General Medicine
Middle Aged
medicine.disease
Total mesorectal excision
Colorectal surgery
Surgery
Sigmoid Neoplasms
Treatment Outcome
Quality of Life
Female
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 00123706
- Volume :
- 51
- Database :
- OpenAIRE
- Journal :
- Diseases of the Colon & Rectum
- Accession number :
- edsair.doi.dedup.....eaac8351b4b85ee9f5cf607119474d59