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
- 발행연도
- 2015.1
- 수록면
- 23 - 28 (6page)
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Purpose: 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.
Methods: 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.
Results: 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).
Conclusion: 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. Patients with a diverting ileostomy should be informed about the impaired QoL, even after stoma closure.
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등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Lange MM / 2009 / One hundred years of curative surgery for rectal cancer : 1908-2008 / Eur J Surg Oncol 35:456~463
Di Betta E / 2003 / Sphincter saving rectum resection is the standard procedure for low rectal cancer / Int J Colorectal Dis 18:463~469
Bryant CL / 2012 / Anterior resection syndrome / Lancet Oncol 13:e403~e408
Cornish JA / 2007 / A meta-analysis of quality of life for abdominoperineal excision of rectum versus anterior resection for rectal cancer / Ann Surg Oncol 14:2056~2068
Pachler J / 2005 / Quality of life after rectal resection for cancer, with or without permanent colostomy / Cochrane Database Syst Rev (2):CD004323
Di Betta E / 2003 / Sphincter saving rectum resection is the standard procedure for low rectal cancer / Int J Colorectal Dis 18:463~469
Bryant CL / 2012 / Anterior resection syndrome / Lancet Oncol 13:e403~e408
Cornish JA / 2007 / A meta-analysis of quality of life for abdominoperineal excision of rectum versus anterior resection for rectal cancer / Ann Surg Oncol 14:2056~2068
Pachler J / 2005 / Quality of life after rectal resection for cancer, with or without permanent colostomy / Cochrane Database Syst Rev (2):CD004323
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