Predictors of fecal incontinence and related quality of life after a total mesorectal excision with primary anastomosis for patients with rectal cancer

Annals of Coloproctology
Marieke S WalmaHenderik L van Westreenen

Abstract

After total mesorectal excision (TME) with primary anastomosis for patients with rectal cancer, the quality of life (QoL) may be decreased due to fecal incontinence. This study aimed to identify predictors of fecal incontinence and related QoL. Patients who underwent TME with primary anastomosis for rectal cancer between December 2008 and June 2012 completed the fecal incontinence quality of life scale (FIQoL) and Wexner incontinence score. Factors associated with these scores were identified using a linear regression analysis. A total of 80 patients were included. Multivariate analysis identified a diverting ileostomy (n = 58) as an independent predictor of an unfavorable outcome on the FIQoL subscale coping/behavior (P = 0.041). Ileostomy closure within and after 3 months resulted in median Wexner scores of 5.0 (interquartile range [IQR], 2.5-8.0) and 10.5 (IQR, 6.0-13.8), respectively (P < 0.001). The median FIQoL score was 15.0 (IQR, 13.1-16.0) for stoma closure within 3 months versus 12.0 (IQR, 10.5-13.9) for closure after 3 months (P = 0.001). A diverting ileostomy is a predictor for an impaired FIQoL after a TME for rectal cancer. Stoma reversal within 3 months showed better outcomes than reversal after 3 months. Patient...Continue Reading

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Citations

May 5, 2016·Acta Cirúrgica Brasileira·José Joaquim Ribeiro da RochaOmar Feres
Sep 17, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·R M Jiménez-RodríguezF de la Portilla
Mar 7, 2018·International Journal of Colorectal Disease·Carl Pontus GustafssonUlrik Lindforss
Jan 21, 2017·World Journal of Gastroenterology : WJG·Nallely Saldana Ruiz, Andreas M Kaiser
Mar 10, 2015·Annals of Coloproctology·Chang-Nam Kim
Aug 20, 2021·International Journal of Colorectal Disease·Alfredo AnnicchiaricoPaolo Prosperi
Jul 6, 2021·Scandinavian Journal of Gastroenterology·Kevin AfshariAbbas Chabok
Sep 3, 2021·International Journal of Colorectal Disease·Kevin AfshariMaziar Nikberg

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