Background: High prevalence of fecal incontinence after rectal resection in patients with rectal carcinoma. Hypothesis: Anorectal manometry done before ileostomy or sigmoidostomy closure can predict fecal incontinence. Methods: Anorectal manometry before, 1 month and 6 month after closure. Anorectal endosonography before and 1 month after closure. Prediction of postoperative incontinence by the surgeon (digital sphincter examination). Visual analog scales for continence, subjective success of operation, and global well being; Wexner and Vaizey incontinence score; Parks incontinence classification; Rockwood fecal incontinence quality of life score; each before, 1 and 6 month after closure.
Study Type
OBSERVATIONAL
Enrollment
30
Hosptial Landshut-Achdorf
Landshut, Germany
RECRUITINGHospital Memmingen
Memmingen, Germany
RECRUITINGHospital Vilsbiburg
Vilsbiburg, Germany
RECRUITINGpredictive value of preoperative anorectal manometry for postoperative fecal incontinence
Anorectal manometry is done preoperatively. Fecal incontinence is determined at 6 month postoperatively. Analysis of correlation between preoperative manometry parameter and incidence of postoperative fecal incontinence.
Time frame: 6 month postoperative
fecal incontinence in patients with/without neoadjuvant radiochemotherapy
Comparison of the percentage of patients with postoperative fecal incontinence after rectal resection in patients with or without neoadjuvant radiochemotherapy
Time frame: six month postoperative
predictive value of the surgeon's preoperative evaluation
Clinical evaluation of the patient preoperatively with estimation (written statement) about postoperative continence/incontinence. Fecal incontinence is determined at 6 month postoperatively. Analysis of correlation between the surgeons´ predictions and the incidence of postoperative fecal incontinence
Time frame: six month postoperative
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