AIM: Aim of this study is to evaluate the presence of fecal incontince and its impact on life-quality after intersphincteric resection for low rectal cancer. MATERIAL AND METHODS: Twentyeight patients (18 males and 10 female) underwent intersphincteric resection for low rectal cancer between 2006 and 2008. The presence of fecal incontinence was evaluated by Wexner score pre-operatory and 3, 6 and 12 months after ileostomy closure; Quality of Life was evaluated by Fecal Incontinence Quality Of Life (FIQL) score. RESULTS: Wexner score was significatively (p<0.01) higher in the post-operative period (14,07 ± 1.94, 13.36 ± 2.3 and 12.29 ± 2.3 at 3.6 and 12 months) than the pre-operative one (0.72 ± 0.71). Post-operative life-quality specifically related to fecal incontince was worse than in the pre-operative period (FIQL: 10.84 ± 2.52 at 12 months vs 16 preoperative period). DISCUSSION: Wexner score results show a significative worsening in fecal incontinence after intersphincteric resection, even if this condition seems to improve during the follow-up. These results agree with literature. CONCLUSIONS: Intersphincteric resection for low rectal cancer is associated, in the short term (12 months), with a significative state of fecal incontinence. This state has a significative impact on life-quality. However a longer follow-up probably might show an improvement in life-quality parameters.
AIM: Aim of this study is to evaluate the presence of fecal incontince and its impact on life-quality after intersphincteric resection for low rectal cancer. MATERIAL AND METHODS: Twentyeight patients (18 males and 10 female) underwent intersphincteric resection for low rectal cancer between 2006 and 2008. The presence of fecal incontinence was evaluated by Wexner score pre-operatory and 3, 6 and 12 months after ileostomy closure; Quality of Life was evaluated by Fecal Incontinence Quality Of Life (FIQL) score. RESULTS: Wexner score was significatively (p<0.01) higher in the post-operative period (14,07 ± 1.94, 13.36 ± 2.3 and 12.29 ± 2.3 at 3.6 and 12 months) than the pre-operative one (0.72 ± 0.71). Post-operative life-quality specifically related to fecal incontince was worse than in the pre-operative period (FIQL: 10.84 ± 2.52 at 12 months vs 16 preoperative period). DISCUSSION: Wexner score results show a significative worsening in fecal incontinence after intersphincteric resection, even if this condition seems to improve during the follow-up. These results agree with literature. CONCLUSIONS: Intersphincteric resection for low rectal cancer is associated, in the short term (12 months), with a significative state of fecal incontinence. This state has a significative impact on life-quality. However a longer follow-up probably might show an improvement in life-quality parameters.
Authors: Giovanni D De Palma; Gaetano Luglio; Stefania Staibano; Luigi Bucci; Dario Esposito; Francesco Maione; Massimo Mascolo; Gennaro Ilardi; Pietro Forestieri Journal: Surg Endosc Date: 2014-02-12 Impact factor: 4.584
Authors: Alessandra Surace; Alessia Ferrarese; Valentina Gentile; Marco Bindi; Jacopo Cumbo; Mario Solej; Stefano Enrico; Valter Martino Journal: Open Med (Wars) Date: 2016-11-19
Authors: Roberto Peltrini; Gaetano Luglio; Gianluca Cassese; Alfonso Amendola; Emanuele Caruso; Michele Sacco; Gianluca Pagano; Viviana Sollazzo; Antonio Tufano; Mariano Cesare Giglio; Luigi Bucci; Giovanni Domenico De Palma Journal: Open Med (Wars) Date: 2019-09-12