지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.97 No.4
- 발행연도
- 2019.10
- 수록면
- 194 - 201 (8page)
이용수
초록· 키워드
오류제보하기
Purpose: There is no established treatment of choice for low anterior resection syndrome (LARS). To evaluate the efficacy of biofeedback therapy for objective improvement of pelvic function in LARS, we performed the present study.
Methods: The primary endpoint was the change of Wexner score. Consenting patients between 20 and 80 years old with major LARS at least 2 months after sphincter preserving proctectomy for rectal cancer were enrolled. After recommendation of biofeedback therapy, patients who accept it were enrolled in the biofeedback group and patients who refuse were enrolled in the control group. Initial and follow-up evaluations were performed and analyzed.
Results: Fifteen and sixteen patients were evaluated in the control group and the biofeedback group, respectively. There was no statistically significant difference of LARS score between both groups. Decrease in Wexner score and increase in rectal capacity were significantly higher in the biofeedback group (odds ratio [OR], 5.386; 95% confidence interval [CI], 1.194–24.287; P = 0.028 and OR, 1.061; 95% CI, 1.002–1.123; P = 0.042).
Conclusion: Biofeedback therapy was superior for objective improvement of pelvic function to observation in LARS. It can be considered to induce more rapid improvement of major LARS.
Methods: The primary endpoint was the change of Wexner score. Consenting patients between 20 and 80 years old with major LARS at least 2 months after sphincter preserving proctectomy for rectal cancer were enrolled. After recommendation of biofeedback therapy, patients who accept it were enrolled in the biofeedback group and patients who refuse were enrolled in the control group. Initial and follow-up evaluations were performed and analyzed.
Results: Fifteen and sixteen patients were evaluated in the control group and the biofeedback group, respectively. There was no statistically significant difference of LARS score between both groups. Decrease in Wexner score and increase in rectal capacity were significantly higher in the biofeedback group (odds ratio [OR], 5.386; 95% confidence interval [CI], 1.194–24.287; P = 0.028 and OR, 1.061; 95% CI, 1.002–1.123; P = 0.042).
Conclusion: Biofeedback therapy was superior for objective improvement of pelvic function to observation in LARS. It can be considered to induce more rapid improvement of major LARS.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (19)
참고문헌 신청
Emmertsen KJ / 2012 / Low anterior resection syndrome score : development and validation of a symptom-based scoring system for bowel dysfunction after low anterior resection for rectal cancer / Ann Surg 255:922~928
Martellucci J / 2016 / Low anterior resection syndrome : a treatment algorithm / Dis Colon Rectum 59:79~82
Kupsch J / 2018 / Outcome of bowel function following anterior resection for rectal cancer-an analysis using the low anterior resection syndrome(LARS)score / Int J Colorectal Dis 33:787~798
Warschkow R / 2017 / Survival after abdominoperineal and sphincter-preserving resection in nonmetastatic rectal cancer : a population-based time-trend and propensity score-matched SEER analysis / Gastroenterol Res Pract 2017:6058907
Dahlberg M / 1998 / Preoperative irradiation affects functional results after surgery for rectal cancer : results from a randomized study / Dis Colon Rectum 41:543~549
Martellucci J / 2016 / Low anterior resection syndrome : a treatment algorithm / Dis Colon Rectum 59:79~82
Kupsch J / 2018 / Outcome of bowel function following anterior resection for rectal cancer-an analysis using the low anterior resection syndrome(LARS)score / Int J Colorectal Dis 33:787~798
Warschkow R / 2017 / Survival after abdominoperineal and sphincter-preserving resection in nonmetastatic rectal cancer : a population-based time-trend and propensity score-matched SEER analysis / Gastroenterol Res Pract 2017:6058907
Dahlberg M / 1998 / Preoperative irradiation affects functional results after surgery for rectal cancer : results from a randomized study / Dis Colon Rectum 41:543~549
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