Sacral nerve stimulation can alleviate symptoms of bowel dysfunction after colorectal resections

Aim Poor functional results, such as faecal incontinence (FI), low anterior resection syndrome (LARS) or high stool frequency, can occur after colorectal resections, including proctocolectomy with ileal pouch‐anal anastomosis (IPAA), rectal resection and left hemicolectomy. Management of such patien...

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Veröffentlicht in:Colorectal disease 2017-08, Vol.19 (8), p.756-763
Hauptverfasser: Mege, D., Meurette, G., Vitton, V., Leroi, A.‐M., Bridoux, V., Zerbib, P., Sielezneff, I.
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Sprache:eng
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Zusammenfassung:Aim Poor functional results, such as faecal incontinence (FI), low anterior resection syndrome (LARS) or high stool frequency, can occur after colorectal resections, including proctocolectomy with ileal pouch‐anal anastomosis (IPAA), rectal resection and left hemicolectomy. Management of such patients is problematic, and some case reports have demonstrated the effectiveness of sacral nerve stimulation (SNS) in these situations. Our aim was to analyse the effectiveness of SNS on poor functional results and on quality of life in patients after treatment with different types of colorectal resection. Method At five university hospitals from 2006 to 2014, patients with poor functional results after rectal resection, IPAA or left hemicolectomy underwent a staged SNS implant procedure. Failure was defined by the absence or insufficient improvement (
ISSN:1462-8910
1463-1318
DOI:10.1111/codi.13624