Does a defunctioning stoma affect anorectal function after low rectal resection? Results of a randomized multicenter trial

Diseases of the Colon and Rectum

Volumn 54, Issue 6, 2011, Pages 747-752

  Lindgren, Rickard ^a   Hallböök, Olof ^b   Rutegard, Jörgen ^c   Sjödahl, Rune ^b   Matthiessen, Peter ^a  

^a ÖREBRO UNIVERSITY HOSPITAL   (Sweden)

^b LINKÖPING UNIVERSITY HOSPITAL   (Sweden)

^c UMEÅ UNIVERSITY HOSPITAL   (Sweden)

Author keywords

Anorectal function; Defunctioning stoma; Rectal cancer

Indexed keywords

ADULT; ANASTOMOSIS LEAKAGE; ANORECTAL FUNCTION; ARTICLE; BODY MASS; CHEMORADIOTHERAPY; CLINICAL EVALUATION; CONTROLLED STUDY; DEFECATION; DEFUNCTIONING STOMA; END TO END ANASTOMOSIS; FECES INCONTINENCE; HUMAN; INTESTINE FUNCTION; LIFESTYLE MODIFICATION; MAJOR CLINICAL STUDY; MULTICENTER STUDY; OUTCOME ASSESSMENT; POSTOPERATIVE PERIOD; QUESTIONNAIRE; RANDOMIZED CONTROLLED TRIAL; RATING SCALE; RECTUM CARCINOMA; RECTUM RESECTION; SCORING SYSTEM; STOMA; WELLBEING; AGED; ANASTOMOSIS; CARCINOMA; CHI SQUARE DISTRIBUTION; CLINICAL TRIAL; COLON RESECTION; COLOSTOMY; CONTROLLED CLINICAL TRIAL; CONVALESCENCE; FEMALE; MALE; METHODOLOGY; MIDDLE AGED; NONPARAMETRIC TEST; PATHOPHYSIOLOGY; RECTUM TUMOR; SURVIVAL RATE; SUTURING METHOD; TREATMENT FAILURE;

ADULT; AGED; AGED, 80 AND OVER; ANASTOMOSIS, SURGICAL; ANASTOMOTIC LEAK; CARCINOMA; CHI-SQUARE DISTRIBUTION; COLECTOMY; COLOSTOMY; FEMALE; HUMANS; MALE; MIDDLE AGED; QUESTIONNAIRES; RECOVERY OF FUNCTION; RECTAL NEOPLASMS; STATISTICS, NONPARAMETRIC; SURVIVAL RATE; SUTURE TECHNIQUES; TREATMENT FAILURE;

EID: 79960949148     PISSN: 00123706     EISSN: 15300358     Source Type: Journal    
DOI: 10.1007/DCR.0b013e3182138e79     Document Type: Article

References (18)

1. Karanjia ND, Schache DJ, Heald RJ. Function of the distal rectum after low anterior resection for carcinoma. Br J Surg. 1992; 79:114-116.
2. Rasmussen OO, Petersen IK, Christiansen J. Anorectal function following low anterior resection. Colorectal Dis. 2003;5: 258-261. (Pubitemid 36626152)
3. Kakodkar R, Gupta S, Nundy S. Low anterior resection with total mesorectal excision for rectal cancer: functional assessment and factors affecting outcome. Colorectal Dis. 2006;8: 650-656. (Pubitemid 44363587)
4. Dahlberg M, Glimelius B, Graf W, Pahlman L. Preoperative irradiation affects functional results after surgery for rectal cancer: results from a randomized study. Dis Colon Rectum. 1998;41: 543-551. (Pubitemid 28224084)
5. Hallböök O, Sjödahl R. Anastomotic leakage and functional outcome after anterior resection of the rectum. Br J Surg. 1996; 83:60-62.
6. Nesbakken A, Nygaard K, Lunde OC. Outcome and late functional results after anastomotic leakage following mesorectal excision for rectal cancer. Br J Surg. 2001;88:400-404. (Pubitemid 32238704)
7. Matzel KE, Bittorf B, Gunther K, Stadelmaier U, Hohenberger W. Rectal resection with low anastomosis: functional outcome. Colorectal Dis. 2003;5:458-464. (Pubitemid 37086632)
8. Matzel KE, Stadelmaier U, Muehldorfer S, Hohenberger W. Continence after colorectal reconstruction following resection: impact of level of anastomosis. Int J Colorectal Dis. 1997; 12:82-87. (Pubitemid 27214427)
9. Matthiessen P, Hallbook O, Rutegard J, Simert G, Sjodahl R. Defunctioning stoma reduces symptomatic anastomotic leakage after low anterior resection of the rectum for cancer: a randomized multicenter trial. Ann Surg. 2007;246:207-214. (Pubitemid 47196517)
10. Nationellt kvalitetsregister för Cancer recti [Swedish Rectal Cancer Registry.] www.oc.umu.se/rekti/rektreg.htm. Accessed July 6, 2010.
11. Sailer M, Fein M, Fuchs KH, et al. Morphologic changes of the anal sphincter musculature during and after temporary stool deviation. Langenbecks Arch Surg. 2001;386:183-187.
12. Hallböök O, Sjödahl R. Surgical approaches to obtaining optimal bowel function. Semin Surg Oncol. 2000;18:249-258. (Pubitemid 30193947)
13. Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol Group. Ann Med. 2001;33:337-343. (Pubitemid 32675374)
14. Alves A, Panis Y, Lelong B, et al. Randomized clinical trial of early versus delayed temporary stoma closure after proctectomy. Br J Surg. 2008;95:693-698.
15. Bittorf B, Stadelmaier U, Merkel S, Hohenberger W, Matzel KE. Does anastomotic leakage affect functional outcome after rectal resection for cancer? Langenbecks Arch Surg. 2003;387: 406-410. (Pubitemid 36343035)
16. Vaizey CJ, Carapeti E, Cahill JA, Kamm MA. Prospective comparison of faecal incontinence grading systems. Gut. 1999;44:77-80. (Pubitemid 29143283)
17. Stadelmaier U, Bittorf B, Meyer M, Hohenberger W, Matzel KE. Can continence function after rectal resection be prognostically estimated [in German]? Chirurg. 2000;71:932-938.
18. Parés D, Duncan J, Dudding T, Phillips RK, Norton C. Investigation to predict faecal continence in patients undergoing reversal of a defunctioning stoma (Porridge enema test). Colorectal Dis. 2008;10:379-385. (Pubitemid 351524257)