Assessment and management of low anterior resection syndrome after sphincter preserving surgery for rectal cancer

作     者：Ahmad Sakr Fozan Sauri Mohammed Alessa Eman Zakarnah Homoud Alawfi Radwan Torky Ho Seung Kim Seung Yoon Yang Nam Kyu Kim Sakr Ahmad;Sauri Fozan;Alessa Mohammed;Zakarnah Eman;Alawfi Homoud;Torky Radwan;Kim Ho Seung;Yang Seung Yoon;Kim Nam Kyu

作者机构：Division of Colorectal SurgeryDepartment of SurgerySeverance HospitalYonsei University College of MedicineSeoul 03722Korea Colorectal Surgery UnitDepartment of General SurgeryMansoura Faculty of MedicineMansoura University HospitalsMansoura 35511Egypt ‘Department of General SurgeryKing Faisal UniversityAlahsa 31982Saudi Arabia Department of General SurgeryMain hospitalAssiut Faculty of MedicineAssiut UniversityAssiut 71511Egypt 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2020年第133卷第15期

页      面：1824-1833页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Bowel dysfunction Low anterior resection syndrome Rectal cancer Sphincter-preserving surgery 

摘      要：Many patients develop a variety of bowel dysfunction after sphincter preserving surgeries(SPS)for rectal *** bowel dysfunction usually manifests in the form of low anterior resection syndrome(LARS),which has a negative impact on the patients quality of *** study reviewed the LARS after SPS,its mechanism,risk factors,diagnosis,prevention,and treatment based on previously published *** history taking,physical examination of the patients,using validated questionnaires and other diagnostic tools are important for assessment of LARS *** of LARS should be tailored to each *** therapy is usually needed for patients with major LARS with acceptable *** treatment includes conservative management in the form of medical,pelvic floor rehabilitation and transanal irrigation and invasive procedures including *** this treatment failed,fecal diversion may be *** conclusion,Initial meticulous dissection with preservation of nerves and creation of a neorectal reservoir during anastomosis and proper Kegel exercise of the anal sphincter can minimize the occurrence of ***-treatment counseling is an essential step for patients who have risk factors for developing LARS.