Long-term functional results of coloanal anastomosis for rectal cancer Conference Paper
| Authors: | Paty, P. B.; Enker, W. E.; Cohen, A. M.; Minsky, B. D.; Friedlander-Klar, H. |
| Title: | Long-term functional results of coloanal anastomosis for rectal cancer |
| Conference Title: | 34th Annual Meeting of the Society for Surgery of the Alimentary Tract |
| Abstract: | In a survey of patients treated with coloanal anastomosis for rectal cancer, 81 of 90 eligible patients responded to a questionnaire evaluating current anorectal function. Time from operation to assessment ranged from 1.3 to 12.3 years (median: 4.3 years). The median stool frequency was two per day; 22% of patients reported four or more stools per day. In the patients surveyed, fecal continence was complete in 51%, incontinence to gas only in 21%, minor leak in 23%, and significant leak in 5%. Complete evacuation of the neorectum was problematic in 32%. Overall function was excellent in 28%, good in 28%, fair in 32%, and poor in 12%. The impact of treatment variables on functional outcome was assessed by univariate and multivariate analyses. No surgical technique correlated with improved or impaired outcome. Time since surgery (reduced stool frequency) and use of post-operative adjuvant radiotherapy (increased stool frequency, increased difficulty with evacuation) did appear to influence functional outcome. We conclude that the functional results of coloanal anastomosis are good but not optimal. Continued investigation of the effects of surgical technique and adjuvant therapy is warranted. © 1994. |
| Keywords: | adult; controlled study; aged; patient satisfaction; functional assessment; surgical technique; major clinical study; conference paper; cancer radiotherapy; follow-up studies; time factors; rectal neoplasms; rectum cancer; colon; anastomosis, surgical; fecal incontinence; rectum anterior resection; middle age; anus; rectum anastomosis; human; male; female; priority journal; anus continence; support, non-u.s. gov't |
| Journal Title | American Journal of Surgery |
| Volume: | 167 |
| Issue: | 1 |
| Conference Dates: | 1993 May 17-19 |
| Conference Location: | Boston, MA |
| ISBN: | 0002-9610 |
| Publisher: | Elsevier Inc. |
| Date Published: | 1994-01-01 |
| Start Page: | 90 |
| End Page: | 94; discussion 94-95 |
| Language: | English |
| DOI: | 10.1016/0002-9610(94)90058-2 |
| PROVIDER: | scopus |
| PUBMED: | 8311145 |
| DOI/URL: | |
| Notes: | Export Date: 14 January 2019 -- Article -- Source: Scopus |
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