Short-term Evaluation of Bowel Dysfunction after Anterior Resection for Carcinoma Rectum

Early Bowel Dysfunction After Rectal Resection

Authors

  • Md Abdul Munim Sarkar Dept. of Surgery, Rajshahi Medical College, Rajshahi
  • Md Setabur Rahman Department of Surgical Oncology, NICRH, Dhaka, Bangladesh
  • AKM Minhaj Uddin Bhuiyan Department of Surgical Oncology, NICRH, Dhaka, Bangladesh
  • Laila Shirin Department of Surgical Oncology, NICRH, Dhaka, Bangladesh
  • Sonia Rahman Department of Surgery, Rupganj UHC, Narayanganj, Bangladesh
  • Md Washif Shakir Dept. of Surgery (Surgical Oncology), Rangpur Medical College, Rangpur, Bangladesh

DOI:

https://doi.org/10.3329/bmrcb.v50i2.71414

Keywords:

Carcinoma Rectum, Bowel Dysfunction, Anterior Resection, Anterior Resection Syndrome

Abstract

Background: Colorectal cancer (CRC) is the third commonest diagnosed cancer and the second leading cause of cancer-related mortality. Though anterior resection with total mesorectal excision (TME) is the gold standard for the treatment of non-disseminated rectal or distal sigmoid cancer, but almost all patients have experienced some degree of bowel dysfunctions.

Objective: To evaluate short-term bowel dysfunction after anterior resection by LARS score.

Methods: This prospective observational study was carried out in the Department of Surgical Oncology, National Institute of Cancer Research & Hospital (NICRH), Mohakhali, Dhaka. The study was undertaken with the patients who already underwent AR for carcinoma rectum. Data collection was started from January 2020 to March 2021 and the 35 case was collected from OPD and indoor of NICRH maintaining inclusion and exclusion criteria at 3rd month and 6th month. Statistical analysis was done according to the objective of the study by using Statistical Package for Social Science software version 27.0 for windows.

Results: Out of 35 eligible patients, the majority of 21 (60.0%) patients were male. The mean age was found 45.83±11.92 years. Regarding tumor distance from the anal verge, 8(22.86%) patients’ tumors were found at the high rectum, 22(62.86%) at mid rectum (8-11 cm) and 5(14.29%) at low rectum. Bowel dysfunction was observed in 94% of cases; out of them, 37% had major dysfunction in 6th month. The mean LARS score was found 28.6±7.2 in 3rd month and 25.7±6.8 in 6th month. The difference was statistically significant (p ≤ 0.05) between the two groups. Bowel dysfunction, i.e., Incontinence, clustering, urgency and frequency were documented at 6th month 74.29%, 77.14%, 71.43% and 82.86% respectively and were not statistically significant (p >0.05) between at 3rd and 6th months. At 6th month, bowel dysfunctions were higher in ultra-low anterior resection than high anterior resection.

Conclusion: The high prevalence of ARS emphasizes the importance of evaluating bowel dysfunction for rectal cancer treatment in future research and counseling the patient in hospital and daily clinical practice. 

Bangladesh Med Res Counc Bull 2024; 50: 74-80

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Published

2024-08-01

How to Cite

Sarkar, M. A. M., Rahman, M. S., Bhuiyan, A. M. U., Shirin, L., Rahman, S., & Shakir, M. W. (2024). Short-term Evaluation of Bowel Dysfunction after Anterior Resection for Carcinoma Rectum: Early Bowel Dysfunction After Rectal Resection. Bangladesh Medical Research Council Bulletin, 50(2), 74–80. https://doi.org/10.3329/bmrcb.v50i2.71414

Issue

Vol. 50 No. 2 (2024)

Section

Research Papers

License

Copyright (c) 2024 Md. Abdul Munim Sarkar, Md. Setabur Rahman, AKM Minhaj Uddin Bhuiyan, Laila Shirin, Sonia Rahman, Md. Washif Shakir

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