Article
Oncology
Feng Xia, You Zou, Qiao Zhang, Jianhong Wu, Zhen Sun
Summary: This study aims to construct a model for predicting the probability of LARS occurrence after ileostomy reversal and guide preventive strategies. Three risk factors were identified, and a predictive model was constructed. This model can help screen high-risk patients and guide individualized preventive strategies.
Article
Gastroenterology & Hepatology
Qiyuan Qin, Binjie Huang, Aiwen Wu, Jiale Gao, Xinzhi Liu, Wuteng Cao, Tenghui Ma, Yingyi Kuang, Jirui Guo, Qian Wu, Biyan Shao, Qi Guan, Hongwei Yao, Xiaoyan Zhang, Hui Wang
Summary: This study aimed to develop and validate a risk model to improve the prediction of major bowel dysfunction after restorative rectal cancer resection with neoadjuvant radiotherapy. Clinical characteristics and imaging parameters were evaluated using machine learning algorithms, and the prediction model was constructed based on logistic regression. The model demonstrated high accuracy in predicting major bowel dysfunction.
Article
Gastroenterology & Hepatology
Quentin Denost, Dienabou Sylla, Christina Fleming, Helene Maillou-Martinaud, Nathalie Preaubert-Hayes, Antoine Benard
Summary: Tailored use of defunctioning stoma and early stoma closure based on personalized risk assessment can improve quality of life, reduce complications, and cut down healthcare expenses in rectal cancer surgery.
COLORECTAL DISEASE
(2023)
Article
Medicine, General & Internal
Audrius Dulskas, Vidas Petrauskas, Justas Kuliavas, Klaudija Bickaite, Mikalojus Kairys, Kastytis Pauza, Alfredas Kilius, Egidijus Sangaila, Rimantas Bausys, Eugenijus Stratilatovas
Summary: This study aimed to assess quality of life and bowel function in patients undergoing early vs. standard ileostomy closure. Based on two questionnaires and a small sample size, it was found that there was no significant difference in quality of life or bowel function between the two groups in the late postoperative period.
JOURNAL OF CLINICAL MEDICINE
(2021)
Review
Oncology
E. Pape, I. Vlerick, Y. Van Nieuwenhove, P. Pattyn, D. Van de Putte, G. H. van Ramshorst, K. Geboes, A. Van Hecke
Summary: This systematic review explores the experiences and needs of rectal cancer patients facing bowel problems after stoma reversal. Patients require timely information and support both before and after surgery to cope with their bowel issues effectively.
EUROPEAN JOURNAL OF ONCOLOGY NURSING
(2021)
Article
Oncology
Lili Chu, Hui Wang, Suyu Qiu, Biyan Shao, Jia Huang, Qiyuan Qin, Yanjiong He, Jing Xue, Xiaoyan Li, Xiaoyan Huang, Rongkang Huang
Summary: This study identified risk factors associated with delayed recovery of gastrointestinal function after ileostomy reversal for rectal cancer patients. Factors such as prolonged postoperative hospital stay and postoperative complications were significantly linked to delayed post-operative flatus. Increased intravenous fluid infusion at postoperative day 1 and duration of stoma >= 6 months were independent risk factors for delayed flatus.
CANCER MANAGEMENT AND RESEARCH
(2021)
Article
Gastroenterology & Hepatology
Emma L. Beamish, Judith Johnson, Barbara Shih, Rebecca Killick, Frank Dondelinger, Ciarra McGoran, Caitlan Brewster-Craig, Albert Davies, Arnab Bhowmick, Rachael J. Rigby
Summary: Loop ileostomy is a common surgical procedure for downstream tissue healing, but the reversal procedure is associated with substantial morbidity. This study investigated the potential influence of delaying ileostomy reversal surgery on clinical and pathological outcomes. The results showed that the length of time a stoma is in place does not impact the likelihood of complications. Microbiota diversity in the functional and defunctioned limb correlated within an individual and was not significantly different between those who experienced complications and those who didn't. Restoring intestinal microbiota numbers prior to reversal surgery may improve clinical outcomes.
Article
Multidisciplinary Sciences
Mark Bremholm Ellebaek, Sharaf Karim Perdawood, Signe Steenstrup, Sardar Khalaf, Jette Kundal, Soeren Moller, Jacob Christian Bang, Jens Stovring, Niels Qvist
Summary: This study aims to compare the outcomes after planned early versus late stoma reversal in patients undergoing low anterior resection for rectal cancer. The results showed similar overall complications and quality of life between early and late stoma reversal, but more stoma-related complications in the late reversal group. The risk of developing anastomotic leakage after early ostomy reversal is a concern.
SCIENTIFIC REPORTS
(2023)
Article
Surgery
Chih-Yu Kuo, Yen-Kuang Lin, Po-Li Wei, James Chi-Yong Ngu, Kuan-Der Lee, Chi-Long Chen, Yaoru Huang, Chia-Che Chen, Li-Jen Kuo
Summary: This study aimed to identify the risk factors for permanent stoma (PS) in patients who underwent sphincter-saving operations for rectal cancer. The analysis revealed that local recurrence, perirectal abscess, anastomosis site stenosis, perineural invasion, and operation time were independent risk factors for PS.
ASIAN JOURNAL OF SURGERY
(2023)
Article
Oncology
Yolanda Ribas, Montse Martin-Baranera, Ladislao Cayetano, Carles Maristany, Josep Bargallo, Salvadora Delgado, Arantxa Munoz-Duyos
Summary: This study aimed to estimate the incidence and characterize the low anterior resection syndrome (LARS) in patients after rectal cancer surgery, and found that bowel dysfunction is common and has a significant impact on patients' quality of life.
SUPPORTIVE CARE IN CANCER
(2022)
Article
Surgery
Maxime K. Collard, Melanie Calmels, Ben Creavin, Hortense Boullenois, Clotilde Debove, Najim Chafai, Yann Parc, Jeremie H. Lefevre
Summary: This study aimed to report the long-term functional outcomes and quality of life in patients after successful redo colorectal anastomosis or coloanal anastomosis. Results showed that almost half of patients can achieve good functional outcomes after a median of 69 months of follow-up, but it requires a prolonged postoperative period of rehabilitation.
Article
Surgery
Dae Hee Pyo, Jung Wook Huh, Woo Yong Lee, Seong Hyeon Yun, Hee Cheol Kim, Yong Beom Cho, Yoonah Park, Jung Kyong Shin
Summary: This study compared the protective efficacy of transanal tube with diverting stoma in patients with rectal cancer after neoadjuvant chemoradiotherapy. The incidence of anastomotic leakage did not significantly differ between the two groups. However, the overall morbidity was significantly higher in the diverting stoma group. For patients with a level of anastomosis < 4 cm, the incidence of grade C anastomotic leakage was significantly higher in the transanal tube group.
Article
Multidisciplinary Sciences
Amirmohammad Dahouri, Mohammad Hassan Sahebihagh, Neda Gilani
Summary: The aim of this study was to compare sexual function in individuals with and without a colostomy bag. The study found that there was no significant difference in sexual function scores for men with and without a colostomy bag. However, women with a colostomy bag had significantly lower sexual function scores compared to women without a colostomy bag. Addressing sexual concerns in individuals with colorectal cancer is crucial for enhancing their overall well-being.
SCIENTIFIC REPORTS
(2023)
Article
Oncology
S. H. J. Ketelaers, R. G. Orsini, G. A. P. Nieuwenhuijzen, H. J. T. Rutten, J. W. A. Burger, J. G. Bloemen
Summary: This study focused on the outcomes of diverting ostomy in elderly patients with advanced rectal cancer after low anterior resection (LAR). The results showed that most elderly patients successfully reversed their ostomy with limited complications, but there is still a risk of non-reversal and ostomy recreation over time.
Article
Surgery
Natasha G. Caminsky, Jeongyoon Moon, Nancy Morin, Karim Alavi, Rebecca C. Auer, Liliana G. Bordeianou, Sami A. Chadi, Sebastien Drolet, Amandeep Ghuman, Alexander Sender Liberman, Tony MacLean, Ian M. Paquette, Jason Park, Sunil Patel, Scott R. Steele, Patricia Sylla, Steven D. Wexner, Carol-Ann Vasilevsky, Fateme Rajabiyazdi, Marylise Boutros
Summary: Early ileostomy closure (EIC) is a safe, feasible, and cost-effective practice. This study assessed patient and surgeon perspectives on EIC, revealing their interest in further exploration and a North American randomized-controlled trial.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Oncology
Diomidis Antoniadis, Alexander Giakoustidis, Vasileios Papadopoulos, Konstantinos N. Fountoulakis, Maggie Watson
Summary: The purpose of this study was to investigate the relationships between distress, psychological adjustment, and quality of life in patients with colon cancer. The results showed that quality of life was positively correlated with fighting spirit, cognitive avoidance, and fatalism, and negatively correlated with helplessness and hopelessness, and anxious preoccupation.
EUROPEAN JOURNAL OF ONCOLOGY NURSING
(2024)
Article
Oncology
Irem Gul, Ismail Toygar, Oznur Usta Yesilbalkan
Summary: This study investigated the support needs of carers of cancer patients and how the patient's age and cancer type affect their needs. The study found that carers of older adults and patients with hematological malignancies require more support in various aspects of caregiving.
EUROPEAN JOURNAL OF ONCOLOGY NURSING
(2024)
