Anterior Resection Syndrome
Conditions
Brief summary
Prospective study assessing treatment acceptability and the impact of rectal irrigation on patients with low anterior resection syndrome (LARS) in terms of quality of life and bowel function.
Detailed description
Aims: To assess if rectal irrigation improves patient symptoms and quality of life in patients with LARS and to see if the treatment is acceptable to patients. Methods: This is a mixed methods evaluation study on functional outcomes in patients who have undergone anterior resection for rectal neoplasia and who have had bowel continuity restored between Jan 2009 and Jan 2014. Those patients deemed to have LARS who consent to participation in the study will be offered rectal irrigation.
Interventions
rectal irrigation
Sponsors
Study design
Eligibility
Inclusion criteria
* patients who have undergone anterior resection for rectal neoplasia, patients who have had restored bowel continuity * LARS score of \>20 (defined LARS syndrome) * patients \> 18 years of age.
Exclusion criteria
* previous use of rectal irrigation * patients who are unable to give informed consent * patients who are not physically capable of performing the treatment in their home
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| SF12 | pre intervention and 6 months post | quality of life |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| EORTC | pre intervention and 6 months post | quality of life |
| Low anterior resection score | pre intervention and 6 months post | bowel function |
| St Marks Faecal incontinence score | pre intervention and 6 months post | bowel function |
| treatment acceptability questionnaire | post training for treatment and 6 months post treatment | — |
Other
| Measure | Time frame |
|---|---|
| qualitative interviews | after 6 months treatment or drop out from treatment group |
Countries
United Kingdom