Transanal irrigation improves quality of life in patients with low anterior resection syndrome

Aim  Transanal irrigation (TAI) has been reported to be a cheap and effective treatment for the ‘anterior resection syndrome (ARS)’. This study aimed to evaluate its effect on the quality of life (QOL) of patients suffering from ARS. Method  In a prospective study involving two colorectal centres, 1...

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Bibliographic Details
Published in:Colorectal disease 2011-10, Vol.13 (10), p.e335-e338
Main Authors: Rosen, H., Robert-Yap, J., Tentschert, G., Lechner, M., Roche, B.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
anterior resection syndrome
Fecal Incontinence - etiology
Fecal Incontinence - therapy
Female
Humans
Ileostomy
Male
Middle Aged
Postoperative Complications
Quality of Life
Rectal resection
Rectum - surgery
Therapeutic Irrigation - methods
transanal irrigation
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Summary:Aim  Transanal irrigation (TAI) has been reported to be a cheap and effective treatment for the ‘anterior resection syndrome (ARS)’. This study aimed to evaluate its effect on the quality of life (QOL) of patients suffering from ARS. Method  In a prospective study involving two colorectal centres, 14 patients (11 male; median age 68 (45–80) years) were included in the study. The median duration of ARS was 19 (9–48) months. The median number of defaecations was 8 (4–12)/day and 3 (2–5)/night. All patients were trained to perform TAI using the Peristeen™ System under the guidance of a stoma nurse. Anal physiology was performed, quality of life (QOL) was estimated by the SF‐36 and Rockwood (ASCRS) questionnaires and continence by the Cleveland Incontinence Score. Results  At the last follow up the median time of using TAI was 29 (15–46) months. The median volume of water used for the irrigation was 900 (500–1500) ml. There was a significant decrease in the number of defaecations during the day (baseline, 8 [4–12]; last follow up, 1 [1–2]) and at night (baseline, 3 [2–5]; last follow up, 0 [0–0]). The Cleveland Incontinence Score fell from 17 [15–20] (baseline) to 5 [4–9] (last follow up) and the mental component of the SF‐36 and all domains of the Rockwood QOL instrument improved. Conclusion  Transanal irrigation is an effective treatment of anterior resection syndrome and results in a marked improvement of the continence score and QOL.
ISSN:1462-8910
1463-1318
DOI:10.1111/j.1463-1318.2011.02692.x