Incidence and characterization of the anterior resection syndrome through the use of the LARS scale (low anterior resection score)

被引:33
|
作者
Carrillo, Alberto [1 ]
Maria Enriquez-Navascues, Jose [1 ]
Rodriguez, Araceli [1 ]
Placer, Carlos [1 ]
Antonio Mugica, Jose [1 ]
Saralegui, Yolanda [1 ]
Timoteo, Ander [1 ]
Borda, Nerea [1 ]
机构
[1] Hosp Univ Donostia, Serv Cirugia Gen & Digest, Secc Cirugia Colorrectal, San Sebastian, Spain
来源
CIRUGIA ESPANOLA | 2016年 / 94卷 / 03期
关键词
Rectal neoplasm; Anterior resection of rectum; Anterior resection syndrome; LARS scale; Functional results; QUALITY-OF-LIFE; RECTAL-CANCER; VALIDATION;
D O I
10.1016/j.ciresp.2015.11.005
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction: Recently a score (LARS) has been internationally validates that quantifies the anterior resection syndrome (ARS). The objective of this study is to know the incidence and severity of the ARS using LARS and its correlation with selected variables or risk factors. Methods: All operated patients with anterior resection for rectal cancer between October 2007 and February 2014, with curative intention and at least one year of functionality, were sent a LARS questionnaire. The variables studied were: Age sex, time elapsed since surgery, type of surgical approach, type of anastomosis, derivative ileostomy, postoperative pelvic complication, and radiotherapy regimen. Results: Out of 195 patients, 136 (70%) responded, and 132 responded properly. A total of 47% of the patients presented "severe" LARS and 34% did not develop quantifiable ARS. Quality of life was worse in the highest LARS scores (P=.002). In the univariate analysis, total mesorectal excision, long radiotherapy regimen and derivative stoma were associated to "severe" LARS and the use of a reservoir was associated with minor LARS. In multivariate analysis only the type of resection (P<.001) and the use of a reservoir (P=.002) were individual factors related to LARS. Conclusions: Half of the operated patients presented high LARS score and only a third did not provide a quantifiable ARS. The overall perception of quality of life was significantly worse in patients with more severe LARS. The absence of the rectum (total mesorectal excision) and the type of anastomosis were the main factors associated with the LARS score. (C) 2015 AEC. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:137 / 143
页数:7
相关论文
共 50 条
  • [1] The LARS Score for evaluation of low anterior resection syndrome
    Bittorf, B.
    Matzel, K. E.
    COLOPROCTOLOGY, 2015, 37 (04) : 262 - 265
  • [2] Low Anterior Resection Syndrome (LARS)
    Kneist, Werner
    Aigner, Felix
    COLOPROCTOLOGY, 2023, 45 (01) : 1 - 2
  • [3] Normative Data for the Low Anterior Resection Syndrome Score (LARS Score)
    Juul, Therese
    Elfeki, Hossam
    Christensen, Peter
    Laurberg, Soren
    Emmertsen, Katrine J.
    Bager, Palle
    ANNALS OF SURGERY, 2019, 269 (06) : 1124 - 1128
  • [4] Validation of the Turkish translation of the low anterior resection syndrome (LARS) score
    Celasin, Haydar
    Akyol, Cihangir
    Gecim, Ibrahim Ethem
    Elhan, Atila Halil
    Juul, Therese
    Sokmen, Selman
    Sungurtekin, Ugur
    Akyuz, Simay
    TECHNIQUES IN COLOPROCTOLOGY, 2023, 27 (06) : 465 - 474
  • [5] Validation of Urdu Version of the Low Anterior Resection Syndrome (LARS) Score
    Banday, Imad
    Malik, Ajaz Ahmad
    Khan, Mohammad Abrar
    Parray, Fazl
    Wani, Rauf Ahmad
    Banday, Meeran
    Zahoor, Hanna
    INDIAN JOURNAL OF SURGICAL ONCOLOGY, 2023, 14 (04) : 909 - 917
  • [6] Validation of the Turkish translation of the low anterior resection syndrome (LARS) score
    Haydar Celasin
    Cihangir Akyol
    Ibrahim Ethem Gecim
    Atila Halil Elhan
    Therese Juul
    Selman Sokmen
    Ugur Sungurtekin
    Simay Akyuz
    Techniques in Coloproctology, 2023, 27 : 465 - 474
  • [7] Validation of Urdu Version of the Low Anterior Resection Syndrome (LARS) Score
    Imad Banday
    Ajaz Ahmad Malik
    Mohammad Abrar Khan
    Fazl Parray
    Rauf Ahmad Wani
    Meeran Banday
    Hanna Zahoor
    Indian Journal of Surgical Oncology, 2023, 14 : 909 - 917
  • [8] Treatment of low anterior resection syndrome (LARS)
    Rink, Andreas D.
    COLOPROCTOLOGY, 2023, 45 (01) : 16 - 26
  • [9] Low anterior resection syndrome (LARS) in numbers
    Stelzner, Sigmar
    Mehdorn, Matthias
    Gockel, Ines
    COLOPROCTOLOGY, 2023, 45 (01) : 9 - 15
  • [10] Outcome of bowel function following anterior resection for rectal cancer—an analysis using the low anterior resection syndrome (LARS) score
    Juliane Kupsch
    Thomas Jackisch
    Klaus E. Matzel
    Joerg Zimmer
    Andreas Schreiber
    Anja Sims
    Helmut Witzigmann
    Sigmar Stelzner
    International Journal of Colorectal Disease, 2018, 33 : 787 - 798