Low Anterior Resection Syndrome
Conditions
Brief summary
A randomized controlled trial (RCT) in patients who underwent sphincter preserving surgery due to rectal cancer. The study will analyze the effect of Transanal irrigation (TAI) and medication that can help control of the bowel movement in patients with low anterior resection syndrome.
Detailed description
A randomized controlled trial (RCT) in patients who underwent sphincter preserving surgery due to rectal cancer. The study will analyze the effect of Transanal irrigation (TAI) and medication that can help control of the bowel movement in patients with low anterior resection syndrome. An interim analysis will be made after 40 included patients in the study.
Interventions
Effect of Transanal irrigation (TAI) using Peristeen® anal irrigation system - Coloplast
Medication to help control of the bowel movement (One or a combination of Loperamide, Sorbitol, Sterculia gum)
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients that have undergone surgery for rectal cancer (sphincter saving surgery, low anterior resection) * Adult ≥ 18 years old * Have scoring major LARS (according to the Low anterior resection syndrome score)
Exclusion criteria
* stoma * recurrent disease * Another colorectal surgery * Inflammatory bowel disease (IBD)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Bowel function | 1 year | Cleveland incontinence questionnaire |
| Bowel function, Low anterior resection syndrome (LARS) | 1 year | Assessed using LARS questionnaire (score 0-42, a high score indicates poor bowel function) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life (QoL) | 1 year | Assessed using EORTC Quality of life questionnaire (QLQ)-C30 |
Countries
Sweden