Anterior resection syndrome following sphincterpreserving resection in the UK population
|
|
|
- Julius Richard
- 5 years ago
- Views:
Transcription
1 Anterior resection syndrome following sphincterpreserving resection in the UK population ACPGBI Edinburgh 2016 Kathryn Lynes on behalf of the UK ARSS (Anterior Resection Syndrome Study) Group
2 Functional outcomes following anterior resection Functional outcomes poorly assessed following anterior resection Incontinence, urgency, frequency, obstructed defaecation à Unpredictability à Psychosocial effects à Impact on Quality of Life
3 Anterior resection syndrome Anterior resection syndrome: disordered bowel function after rectal resection, leading to a detriment in quality of life
4 THE LARS SCORE 1. Do you ever have occasions when you cannot control your flatus (wind)? 2. Do you ever have any accidental leakage of liquid stool? 3. How often do you open your bowels? 4. Do you ever have to open your bowels again within one hour of the last bowel opening? 5. Do you ever have such a strong urge to open your bowels that you have to rush to the toilet?
5 Methods Questionnaire 19 Collaborating based Trusts epidemiological (24 Hospitals) acted study as Participant Clinical parameters Identification LARS score Centres EORTC QLQ-C30 Primary 1197 replies aim: establish proportion Overall response of patients rate with is 53% LARS Secondary: assess risk factors and link with QOL
6 THE LARS SCORE 1197 Replies 18 Incomplete 2 completely empty 8 LARS score empty 3 QOL score empty 1 LARS & QOL scores empty 4 Clinical details empty 86 Ineligible Stoma 28 Stoma closed < 1 year ago 13 Chemotherapy 12 Surgery not for cancer 10 Surgery < 1 year ago 6 Further anorectal surgery 6 Anastomotic leak 4 No surgery 3 Local recurrence 2 Tumour in transverse colon 1 Alzheimer's Included
7 Results Total (n) Men (%) Women (%) Median age (range) Year of surgery (63.9) 395 (36.1) 65 (28-88) Total (n) Stoma (n) Stoma (%) Range % 10.0 % % Total (n) SCRT % (range) LCRT % (range) Adjuvant chemo % (range) % (0-30.2) 15.0 % (0 51.7) 39.5 ( ) Total (n) Open % (range) Lap % (range) Converted % (range) ( ) 38.5 ( ) 10.6 ( ) LCRT = Long-course Chemo-Radiotherapy. SCRT = Short Course Radiotherapy
8 Overall results No LARS 408 = 37.2% Minor LARS 238 = 21.9% Major LARS 447 = 40.9%
9 Components of LARS score Urgency Clustering Unanswered None Faecal incon,nence Less than once per week More than once per week Flatus incon,nence 0% 20% 40% 60% 80% 100%
10 Risk factors for LARS Neoadjuvant long-course chemoradiotherapy p = < Odds ratio 3.89 (95% confidence interval 2.49 to 6.07) Neoadjuvant short-course radiotherapy p = Odds ratio 3.14 (95% confidence interval ) Female gender p = Odds ratio 1.33 (95% confidence interval 1.00 to 1.76) Age 65 (median age) p = Odds ratio 1.54 (95% confidence interval )
11 Quality of life results Difference between LARS groups significant at p=< for all scales (Kruskal-Wallis test) Graph with populations norms Mean score No LARS Minor LARS Major LARS Population norm Global Health Physical functioning Role functioning Emotional functioning Cognitive functioning Social functioning Quality of life scales
12 Difference between LARS groups significant at p=< for all scales (Kruskal-Wallis test) 35.0 No LARS 30.0 Minor LARS Mean score Major LARS Population norm Fatigue Nausea & vomiting Pain Dyspnoea Insomnia Appetite loss Constipation Diarrhoea Financial difficulties Symptom scales
13 Discussion LARS affects a considerable proportion of patients post anterior resection Long term impact on QoL Implications for counselling patients LARS score suitable for routine use Considerable variation in treatment of rectal cancer in the UK
14 Conclusions Major LARS affects >40% of patients undergoing anterior resection and negatively affects QoL Prospective study needed to determine risk factors Improved research needed into treatment for LARS
15 Collaborators Mr S Ahmed; Mr H Patel; Mr M Machesney; Mr P Giordano; Mr C Elton; Dr R Glynne-Jones; Ms A Wheeler; Miss H Pardoe; Mr DA Lawes; Mr CM Bailey; Mr STR Bailey; Miss H Lloyd; Mr A Cook; Ms J Elliott; Mr J Huang; Mr M Hanson; Mr M George; Mr J Clark; Dr D Gilbert; Mr I Jenkins; Professor R Kennedy; Ms C Taylor; Miss A Varma; Mr N Smart; Ms J Garwood; Mr A Banerjea; Mr R Austin; Ms A Wordley; Mr M Potter; Mr A Renwick; Mr N Manimaran; Mr J Camilleri-Brennan; Professor A Watson; Mr S Yalamarthi; Mr N Binnie; Mr K Campbell; Professor R Steele. Acknowledgements Mr Mohamed Thaha The Royal College of Surgeons of England - David Johnston Fellowship
WHAT IS LARS? LOW ANTERIOR RESECTIONSYNDROME. Sophie Pilkington. Colorectal Surgeon University Hospital Southampton
WHAT IS LARS? LOW ANTERIOR RESECTIONSYNDROME Sophie Pilkington Colorectal Surgeon University Hospital Southampton INTRODUCTION UK Bowel cancer 2013 41,100 new cases INTRODUCTION UK Bowel cancer 2013 41,100
Incidence of Colorectal Cancers- Australia. Anterior Resection 5/23/2018. What spurs us to investigate?
Incidence of Colorectal Cancers- Australia 17,000 Colorectal cancers in 2018 20% of Colorectal cancers are in the Rectum 12.3% of all new cancers Anterior Resection Syndrome (ARS) Lisa Wilson. Colorectal
During the past decades, treatment and cure of rectal cancer have. Low Anterior Resection Syndrome Score ORIGINAL ARTICLE
ORIGINAL ARTICLE Development and Validation of a Symptom-Based Scoring System for Bowel Dysfunction After Low Anterior Resection for Rectal Cancer Katrine J. Emmertsen, MD, and Søren Laurberg, MD Objective:
Quality of life of patients after low anterior, intersphincteric, and abdominoperineal resection for rectal cancer a matched-pair analysis
Int J Colorectal Dis (2013) 28:679 688 DOI 10.1007/s00384-013-1683-z ORIGINAL ARTICLE Quality of life of patients after low anterior, intersphincteric, and abdominoperineal resection for rectal cancer
To help you understand your operation, it is helpful to have a basic knowledge of how the body works (see Figure 1).
Page 1 of 11 Anterior resection Introduction This leaflet tells you about the procedure known as an anterior resection. It explains what the procedure involves and also some of the common complications
Cover Page. Author: Wiltink, Lisette Title: Long-term effects and quality of life after treatment for rectal cancer Issue Date:
Cover Page The handle http://hdl.handle.net/1887/46445 holds various files of this Leiden University dissertation Author: Wiltink, Lisette Title: Long-term effects and quality of life after treatment for
Cover Page. Author: Wiltink, Lisette Title: Long-term effects and quality of life after treatment for rectal cancer Issue Date:
Cover Page The handle http://hdl.handle.net/1887/46445 holds various files of this Leiden University dissertation Author: Wiltink, Lisette Title: Long-term effects and quality of life after treatment for
Validation and comparative assessment of low anterior resection syndrome questionnaires in Greek rectal cancer patients
ORIGINAL ARTICLE Annals of Gastroenterology (2019) 32, 1-8 Validation and comparative assessment of low anterior resection syndrome questionnaires in Greek rectal cancer patients Artemis Liapi a, Constantine
RALP Registration Form (new registration)
RALP Registration Form (new registration) RALP registration form new registration v2.0 1 RALP registration form new registration All fields are required, except those marked with an asterisk (*) Variables
Colorectal M25. Diseases Masterclass. 7th 9th March 2018 Pelican Cancer Foundation Basingstoke
Colorectal Diseases Masterclass 7th 9th March 2018 Pelican Cancer Foundation Basingstoke An in-depth review of all aspects of colorectal disease, including controversial and difficult to manage problems.
Pelvic Floor Disorders. Amir Darakhshan MD FRCS (Gen Surg) Consultant Colorectal and General Surgeon
Pelvic Floor Disorders Amir Darakhshan MD FRCS (Gen Surg) Consultant Colorectal and General Surgeon What is Pelvic Floor Disorder Surgical perspective symptoms of RED, FI or prolapse on the background
Late effects of treatment for colorectal cancer. Claire Taylor Macmillan Nurse Consultant St Mark s Hospital
Late effects of treatment for colorectal cancer Claire Taylor Macmillan Nurse Consultant St Mark s Hospital The number of people living with cancer is set to double from 2m to 4m by 2030 Source: Maddams
Ein Leben nach tiefer Rektumresektion: Was erwartet unsere Patienten im Langzeitverlauf?
Ein Leben nach tiefer Rektumresektion: Was erwartet unsere Patienten im Langzeitverlauf? Dieter Hahnloser Klinik für Viszeral- und Transplantationschirurgie UniverstätsSpital Zürich Low Rectal Resection
LONG TERM OUTCOME OF ELECTIVE SURGERY
LONG TERM OUTCOME OF ELECTIVE SURGERY Roberto Persiani Associate Professor Mini-invasive Oncological Surgery Unit Institute of Surgical Pathology (Dir. prof. D. D Ugo) Dis Colon Rectum, March 2000 Dis
COLORECTAL CARCINOMA
QUICK REFERENCE FOR HEALTHCARE PROVIDERS MANAGEMENT OF COLORECTAL CARCINOMA Ministry of Health Malaysia Malaysian Society of Colorectal Surgeons Malaysian Society of Gastroenterology & Hepatology Malaysian
ADJUVANT CHEMOTHERAPY...
Colorectal Pathway Board: Non-Surgical Oncology Guidelines October 2015 Organization» Table of Contents ADJUVANT CHEMOTHERAPY... 2 DUKES C/ TNM STAGE 3... 2 DUKES B/ TNM STAGE 2... 3 LOCALLY ADVANCED
Clinical problems related to GI involvement in SSc
Clinical problems related to GI involvement in SSc Incontinence Abdominal pain/distension Gastro-oesophageal Diarrhoea Weight loss/al Issues Constipation Management of incontinence Establish diagnosis
Guidance on managing gastro-intestinal consequences of colorectal cancer and its treatments
Guidance on managing gastro-intestinal consequences of colorectal cancer and its treatments 1. Background The number of people living with and beyond cancer continues to increase on a yearly basis in the
Facing Surgery for. Learn about minimally invasive da Vinci Surgery
Facing Surgery for Colorectal Cancer? Learn about minimally invasive da Vinci Surgery Colorectal Surgery Colorectal cancer often starts in the glands of the colon or rectum lining. Most colorectal cancers
Voiding Diary. Begin recording upon rising in the morning and continue for a full 24 hours.
Urodvnamics Your physician has scheduled you for a test called URODYNAMICS. This test is a series of different measurements of bladder function and can be used to determine the cause of a variety of bladder
International validation of the low anterior resection syndrome score
Zurich Open Repository and Archive University of Zurich Main Library Strickhofstrasse 39 CH-8057 Zurich www.zora.uzh.ch Year: 2014 International validation of the low anterior resection syndrome score
Regaining Bowel Control. Yvette Perston Functional Bowel CNS Queen Elizabeth Hospital Birmingham
Regaining Bowel Control Yvette Perston Functional Bowel CNS Queen Elizabeth Hospital Birmingham GI Tract Sigmoid Colon and Rectum Anterior Resection What is Anterior Resection Syndrome (LARS)? Disordered
Chapter 19. Assisting With Bowel Elimination. Elsevier items and derived items 2014, 2010 by Mosby, an imprint of Elsevier Inc. All rights reserved.
Chapter 19 Assisting With Bowel Elimination Normal Bowel Elimination Time and frequency of bowel movements (BMs) vary. To assist with bowel elimination, you need to know these terms: Defecation is the
Preoperative adjuvant radiotherapy
Preoperative adjuvant radiotherapy Dr John Hay Radiation Oncology Program BC Cancer Agency Vancouver Cancer Centre The key question for the surgeon Do you think that this tumour can be resected with clear
Biofeedback Therapy A nurse led management service for functional bowel disorders
Biofeedback Therapy A nurse led management service for functional bowel disorders Brigitte Collins Lead Nurse BSc, MSc GI Nursing, Dip/Hypnotherapy St Marks Hospital Is biofeedback necessary? Conservative
Definition and Types of Intestinal Failure
Definition and Types of Intestinal Failure Jeremy Nightingale Consultant Gastroenterologist St Mark s Hospital Intestinal Failure - Definitions Reduction in functioning gut mass below the minimum amount
Chapter 22. Bowel Needs. Copyright 2019 by Elsevier, Inc. All rights reserved.
Chapter 22 Bowel Needs Copyright 2019 by Elsevier, Inc. All rights reserved. Lesson 22.1 Define the key terms and key abbreviations in this chapter. Describe normal defecation and the observations to report.
Case Conference. Craig Morgenthal Department of Surgery Long Island College Hospital
Case Conference Craig Morgenthal Department of Surgery Long Island College Hospital Neoadjuvant versus Adjuvant Radiation Therapy in Rectal Carcinoma Epidemiology American Cancer Society statistics for
Faecal Incontinence: Assessment and Management
Mrs PK; 56 yrs; Married; 2 children Faecal Incontinence: Assessment and Management Professor Marc A Gladman MBBS DFFP PhD MRCOG FRCS (UK) FRACS Professor of Colorectal Surgery >10 years of incontinence
Stapled transanal rectal resection for obstructed defaecation syndrome
Stapled transanal rectal resection for obstructed Issued: June 2010 www.nice.org.uk/ipg351 NHS Evidence has accredited the process used by the NICE Interventional Procedures Programme to produce interventional
Recent developments in radiotherapy and management of bowel toxicity
The Roy al Marsden Recent developments in radiotherapy and management of bowel toxicity Dr Alexandra Taylor Radiotherapy for cervical cancer Historical perspective 1901 First use of radium for cervical
Ileoanal Pouch Solves the Problem
Ileoanal Pouch Solves the Problem Bruce D George Department of Surgery John Radcliffe Hospital, Falk Symposium 2-3 May 2008 Ileoanal Pouch Solves the Problem? Sometimes Not always Key Issues in Pouch Surgery
COLORECTAL CANCER Quality Performance Indicators (QPI) Comparative Report
SOUTH EAST SCOTLAND CANCER NETWORK PROSPECTIVE CANCER AUDIT COLORECTAL CANCER 2016 2017 Quality Performance Indicators (QPI) Comparative Report Mr S Yalamarthi, NHS Fife, Lead Colorectal Cancer Clinician,
Constipation Information Leaflet THE DIGESTIVE SYSTEM. gutscharity.org.uk
THE DIGESTIVE SYSTEM http://healthfavo.com/digestive-system-for-kids.html This factsheet is about Constipation Constipation is a symptom that can mean different things to different people but the usual
The Late Consequences of Cancer Treatment The Impact & Management of the Late Effects of Pelvic Cancer Treatments
The Late Consequences of Cancer Treatment The Impact & Management of the Late Effects of Pelvic Cancer Treatments Lesley Smith Consequences of Treatment Programme Manager at Macmillan Cancer Support &
Colorectal Cancer Comparative Audit Report
SOUTH EAST SCOTLAND CANCER NETWORK (SCAN) PROSPECTIVE CANCER AUDIT Colorectal Cancer 2014 2015 Comparative Audit Report Mr B.J. Mander, NHS Lothian, Lead Colorectal Cancer Clinician, SCAN Group Chair Mr
Fecal incontinence (FI) is a common symptom, not. Symptoms and Quality of Life in Community Women With Fecal Incontinence
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2006;4:1004 1009 Symptoms and Quality of Life in Community Women With Fecal Incontinence ADIL E. BHARUCHA,* ALAN R. ZINSMEISTER, G. RICHARD LOCKE,* CATHY SCHLECK,
Treatment strategy of metastatic rectal cancer
35.Schweizerische Koloproktologie-Tagung Treatment strategy of metastatic rectal cancer Gilles Mentha University hospital of Geneva Bern, January 18th, 2014 Colorectal cancer is the third most frequent
RECTAL CANCER CLINICAL CASE PRESENTATION
RECTAL CANCER CLINICAL CASE PRESENTATION Francesco Sclafani Medical Oncologist, Clinical Research Fellow The Royal Marsden NHS Foundation Trust, London, UK esmo.org Disclosure I have nothing to declare
Health-related quality of life a prospective cohort study in phase I oncology trial participants 1
Health-related quality of life a prospective cohort study in phase I oncology trial participants 1 28 August 2018 Diane (A.J.) van der Biessen 2, Wendy H. Oldenmenger, Peer G. van der Helm, Dennis Klein,
Male Symptom Monitor
Male Symptom Monitor Occupation: Recreational Activities: Presenting problems: 1. 2. When did this start? Please fill out each section that is relevant to your problem Have you had any of the following
Change in health-related quality of life over 1 month in cancer patients with high initial levels of symptoms and problems
Syddansk Universitet Change in health-related quality of life over 1 month in cancer patients with high initial levels of symptoms and problems Lund Rasmussen, Charlotte; Johnsen, Anna Thit; Petersen,
Tertiary, regional and local pelvic floor service providers: the future. model? Andrew Williams
Tertiary, regional and local pelvic floor service providers: the future Andrew Williams model? Pelvic Floor Unit Guy s and St Thomas NHS Foundation Trust Background 23% women suffer at least one pelvic
Women s and Men s Health Intake Form Comprehensive Physical Therapy Center
Name: (Last, First) DOB: Date: Age: Referring Physician: Next Physician Appointment: Today s visit: What is the main reason you came to the office today? When did it start? What treatments have you had
Reliability and Validity of the Taiwan Chinese Version of the EORTC QLQ-PR25 in Assessing Quality of Life of Prostate Cancer Patients
Urol Sci 2010;21(3):118 125 ORIGINAL ARTICLE Reliability and Validity of the Taiwan Chinese Version of the EORTC QLQ-PR25 in Assessing Quality of Life of Prostate Cancer Patients Wei-Chu Chie 1, Chih-Chieh
Anterior Resection. Your Operation Explained. Delivering the best in care. UHB is a no smoking Trust
Anterior Resection Your Operation Explained Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
Adjuvant and neoadjuvant chemotherapy for rectal cancer: Expensive but little gain
Adjuvant and neoadjuvant chemotherapy for rectal cancer: Expensive but little gain Outline The problem Adjuvant therapy Neoadjuvant therapy Options Conclusion The problem 30 years ago: Local recurrence
Change in 28 HRQL outcomes after open surgery, open surgery combined, and minimally invasive surgery at 3, 6, 9, and 12 months follow-up.
Supporting information for Meta-analysis shows clinically relevant and long-lasting deterioration in health-related quality of life after esophageal cancer. Online Resource 1 Online Resource 2 Online Resource
Please complete this voiding diary and questionnaire. Bring both of them with you to your next appointment with your provider.
Please complete this voiding diary and questionnaire. Bring both of them with you to your next appointment with your provider. To begin the diary, please choose two days when you will be at home. The two
Factors influencing sexual function in patients with rectal cancer
(5) 17, 231 238 & 5 Nature Publishing Group All rights reserved 955-99/5 $. www.nature.com/ijir Factors influencing sexual function in patients with rectal cancer CE Schmidt 1 *, B Bestmann 2,TKüchler
Faecal Incontinence Information Leaflet THE DIGESTIVE SYSTEM
THE DIGESTIVE SYSTEM This factsheet is about faecal incontinence Faecal (or anal) incontinence is the loss of stool, liquid or gas from the bowel at an undesirable time. Males and females of any age may
Hester Cheung Memorial Lecture
Hester Cheung Memorial Lecture STEVEN D WEXNER, MD, PHD (HON),FACS, FRCS, FRCS(ED) Director, Digestive Disease Center; Chairman, Department of Colorectal Surgery; Cleveland Clinic Florida Professor of
CHEMO-RADIOTHERAPY FOR BLADDER CANCER. Dr Darren Mitchell Consultant Clinical Oncologist Northern Ireland Cancer Centre
CHEMO-RADIOTHERAPY FOR BLADDER CANCER Dr Darren Mitchell Consultant Clinical Oncologist Northern Ireland Cancer Centre AIMS Muscle invasive disease Current Gold-Standard Rationale behind Chemo-Radiotherapy
Women s Health Development Unit, School of Medical Science, Health Campus, Universiti Sains Malaysia b
The Malay Version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ C30): Reliability and Validity Study Yusoff N a, Low WY b and Yip CH c ORIGINAL
MEDICAL QUESTIONNAIRE
Center for Restorative Pelvic Medicine MEDICAL QUESTIONNAIRE Dear Patient: Please take a few minutes to complete this form. This will help assure you of the best possible care and will be held in confidence
Laparoscopic colon resection for colon cancer
Laparoscopic colon resection for colon cancer Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Discovery has made every effort to ensure that we
Controlled outcome of Hirschsprung s disease beyond adolescence: a single center experience
https://doi.org/10.1007/s00383-018-4391-5 ORIGINAL ARTICLE Controlled outcome of Hirschsprung s disease beyond adolescence: a single center experience Elisabet Gustafson 1,2 Therese Larsson 1,2 Johan Danielson
Colorectal Cancer. Nimalan Pathma-Nathan
Colorectal Cancer Nimalan Pathma-Nathan Introduction Rooms at HSS and Westmead Private Outpatients at Westmead Multidisciplinary clinic Westmead Surgery and scopes HSS Westmead Public, Private and Children
Throwing light on the consequences of cancer and its treatment
Throwing light on the consequences of cancer and its treatment Lesley Smith Consequences of Treatment Programme Manager at Macmillan Cancer Support & the National Cancer Survivorship Initiative The London
The Digestive System or tract extends from the mouth to the anus.
The Digestive System or tract extends from the mouth to the anus. FUNCTION The Digestive System breaks down and absorbs food materials e.g. amino acids, glucose DEFINITIONS: Ingestion: Ingestion is the
Rectal Cancer. About the Colon and Rectum. Symptoms. Colorectal Cancer Screening
Patient information regarding care and surgery associated with RECTAL CANCER by Robert K. Cleary, M.D., John C. Eggenberger, M.D., Amalia J. Stefanou., M.D. location: Michigan Heart and Vascular Institute,
COLORECTAL CANCER COMPARATIVE AUDIT REPORT SOUTH EAST SCOTLAND CANCER NETWORK PROSPECTIVE CANCER AUDIT. Mr B.J. Mander SCAN Group Chair
SOUTH EAST SCOTLAND CANCER NETWORK PROSPECTIVE CANCER AUDIT COLORECTAL CANCER 2013-2014 COMPARATIVE AUDIT REPORT Mr B.J. Mander SCAN Group Chair Mr K Pal, NHS Borders Mr S Whitelaw, NHS Dumfries & Galloway
APPLYING ENHANCED RECOVERY PRINCIPLES: EARLY TESTING IN UPPER GI CANCER
APPLYING ENHANCED RECOVERY PRINCIPLES: EARLY TESTING IN UPPER GI CANCER William Allum Consultant Surgeon, Royal Marsden NHS Foundation Trust ? POSSIBLE Major procedure Painful Anastomotic complications
PATIENT INFORMATION Anterior Resection After Care
PATIENT INFORMATION Anterior Resection After Care Anatomy of your bowel Transverse colon Ascending colon Descending colon Sigmoid colon Rectum Anus Your bowel before your operation The large bowel or colon
The Binational Colorectal Cancer Audit. A/Prof Paul McMurrick Head, Cabrini Monash University Dept of Surgery 2017
The Binational Colorectal Cancer Audit A/Prof Paul McMurrick Head, Cabrini Monash University Dept of Surgery 2017 Binational Colorectal Cancer Database 2010 First Patient 2011 Contract between CMUDS and
Bowel Washouts Using an Antegrade Colonic Enema (ACE)
This leaflet gives information for parents/carers whose child is having an ACE procedure and explains about giving bowel washouts. Why does my child need bowel washouts? Bowel washouts are a method of
Review Article Intersphincteric Resection for Low Rectal Cancer: An Overview
International Surgical Oncology Volume 2012, Article ID 241512, 4 pages doi:10.1155/2012/241512 Review Article Intersphincteric Resection for Low Rectal Cancer: An Overview Constantine P. Spanos 1st Department
Quality of life after minimally invasive surgery for rectal cancer
Chen et al. Mini-invasive Surg 2018;2:42 DOI: 10.20517/2574-1225.2018.59 Mini-invasive Surgery Review Open Access Quality of life after minimally invasive surgery for rectal cancer Jason H. Chen 1, Jennifer
Audit Report. Colorectal Cancer Quality Performance Indicators. Patients diagnosed April 2016 March Published: March 2018
Colorectal Cancer Managed Clinical Network Audit Report Colorectal Cancer Quality Performance Indicators Patients diagnosed April 2016 March 2017 Published: March 2018 Mr Michael Walker NOSCAN MCN Clinical
Concomitant (without adjuvant) temozolomide and radiation to treat glioblastoma: A retrospective study
Concomitant (without adjuvant) temozolomide and radiation to treat glioblastoma: A retrospective study T Sridhar 1, A Gore 1, I Boiangiu 1, D Machin 2, R P Symonds 3 1. Department of Oncology, Leicester
National Bowel Cancer Audit Supplementary Report 2011
National Bowel Cancer Audit Supplementary Report 2011 This Supplementary Report contains data from the 2009/2010 reporting period which covers patients in England with a diagnosis date from 1 August 2009
The Management of Female Urinary Incontinence. Part 1: Aetiology and Investigations
The Management of Female Urinary Incontinence Part 1: Aetiology and Investigations Dr Oseka Onuma Gynaecologist and Pelvic Reconstructive Surgeon 4 Robe Terrace Medindie SA 5081 Urinary incontinence has
University of Groningen. Colorectal Anastomoses Bakker, Ilsalien
University of Groningen Colorectal Anastomoses Bakker, Ilsalien IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document
COLORECTAL RESECTIONS
COLORECTAL RESECTIONS What is a colorectal (bowel) resection? Surgery to remove a part of the large bowel is called a resection. Different parts of the colon require different operations and have different
Clavien-Dindo indikator: Et eksempel fra den Danske KoloRektal Cancer database (DCCG)
Clavien-Dindo indikator: Et eksempel fra den Danske KoloRektal Cancer database (DCCG) Peter-Martin Krarup Overlæge Abdominalcenter K, Bispebjerg Hospital Disclosures AstraZeneca (Research collaboration)
Name: Date: Referring Provider: What is the nature of your current gynecologic or urologic medical problem (use the other side if necessary).
Name: Date: Referring Provider: Age: D.O.B. Race/ ethnicity: What is the nature of your current gynecologic or urologic medical problem (use the other side if necessary). We are interested in learning
Session 6: Choosing and using HRQoL measures vs Multi-Attribute Utility Instruments QLU-C10D and EQ-5D as examples
Session 6: Choosing and using HRQoL measures vs Multi-Attribute Utility Instruments QLU-C10D and EQ-5D as examples - Madeleine King & Richard De Abreu Lourenco- Overview Learning Objectives To discuss
Chika Nwachukwu, Ph.D. MS IV Radiation Oncology Rotation
Chika Nwachukwu, Ph.D. MS IV Radiation Oncology Rotation Background Histology/Tumor Characteristics Presenting Symptoms/diagnosis Treatment/outcome Patient cohort Research on HRQOL Slow growing indolent
Robotic Ventral Rectopexy
Robotic Ventral Rectopexy What is a robotic ventral rectopexy? The term rectopexy refers to an operation in which the rectum (the part of the bowel nearest the anus) is put back into its normal position
15. Prevention of UTI and lifestyle modifications
15. Prevention of UTI and lifestyle modifications Key questions: Does improving poor voiding habits help prevent UTI recurrence? Does improving constipation help prevent UTI recurrence? Does increasing
2. Have your symptoms affected your ability to carry out your daily activities? YES NO
QUESTIONNAIRE Page 1 of 5 Date: Referring MD (Name, Address, Phone Number): Primary Care Physician (Name and Address, Phone Number): Reason for visit: 1. How long have you had symptoms? Describe your symptoms?
Postoperative Chemoradiotherapy for Rectal Carcinoma on Bowel Function
ANNALS OF SURGERY Vol. 220, No. 5, 676-682 1994 J. B. Lippincott Company The Long-Term Effect of Adjuvant Postoperative Chemoradiotherapy for Rectal Carcinoma on Bowel Function C. F. Kollmorgen,* A. P.
Pertuzumab for the adjuvant treatment of HER2-positive breast cancer
Lead team presentation Pertuzumab for the adjuvant treatment of HER2-positive breast cancer 1 st Appraisal Committee meeting Background and clinical effectiveness Committee A Lead team: John McMurray,
10th anniversary of 1st validated CaPspecific
Quality of Life after Treatment of Localised Prostate Cancer Dr Jeremy Grummet Clinical Uro-Oncology Fellow May 28, 2008 1 Why? This is important May be viewed as soft science Until we know which treatment
MOVICOL HALF PI December MOVICOL-Half. Powder for Solution (macrogol 3350) Potassium 5.4 mmol/l. Bicarbonate 17 mmol/l
MOVICOL -Half Powder for Solution (macrogol 3350) Product Name: Product Description: MOVICOL-Half Each sachet of MOVICOL-Half contains: Macrogol 3350 6.563 g Sodium chloride 175.4 mg Sodium bicarbonate
BOWEL CANCER. Cancer information.
BOWEL CANCER Cancer information www.cancervic.org.au What is bowel cancer? Bowel cancer is the second most common cancer in both men and women in Australia1 and is more common in people over the age of
Incidence and risk factors of anastomotic leaks. By: khaled Said Assistant professor of colorectal surgery Alexandria
Incidence and risk factors of anastomotic leaks By: khaled Said Assistant professor of colorectal surgery Alexandria Anastomotic leakage after colorectal surgery is a major and potentially life-threatening
Anal sphincter exercises. Information for patients Sheffield Teaching Hospitals
Anal sphincter exercises Information for patients Sheffield Teaching Hospitals Anal sphincter exercises to help lessen leakage from the bowel Sphincter exercises, when practiced correctly, can build up
Health Expectations. Research priorities about stoma-related quality of life from the perspective of people with a stoma: A pilot survey
Research priorities about stoma-related quality of life from the perspective of people with a stoma: A pilot survey Journal: Health Expectations Manuscript ID HEX--.R Manuscript Type: Original Research
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE The management of faecal incontinence in adults 1.1 Short title Faecal incontinence 2 Background (a) (b) (c) The National Institute
Anorectal physiology test
Anorectal physiology test We hope this factsheet will help to answer some of your questions about having an anorectal physiology test. If you have any further questions or concerns, please don t hesitate
Self-reported side effects in neuroendocrine tumour (NET) patients prescribed somatostatin analogues - the role for specialist dietitians and nurses
Self-reported side effects in neuroendocrine tumour (NET) patients prescribed somatostatin analogues - the role for specialist dietitians and nurses Tara Whyand BSc MSc Neuroendocrine Tumour Research &
Surgical Approach to Crohn s Colitis Segmental or Total Colectomy? Can We Avoid the Stoma?
17 th Panhellenic IBD Congress Thessaloniki May 2018 Surgical Approach to Crohn s Colitis Segmental or Total Colectomy? Can We Avoid the Stoma? Janindra Warusavitarne Consultant Colorectal Surgeon, St
Our Colorectal Surgery Team
Our Colorectal Surgery Team At the Singapore General Hospital, our dedicated team of Colorectal surgeons offer comprehensive consultations on all colorectal services. This includes pelvic floor disorders,
Bowel cancer. In this fact sheet: Page 1 of 13 Macmillan fact sheet 2017: Bowel cancer. Bowel Cancer: English
Bowel Cancer: English Bowel cancer This information is about bowel cancer and treatments for bowel cancer. Any words that are underlined are explained in the word list at the end. If you have any questions,
A laparoscopic subtotal colectomy usually lasts between 3 and 6 hours.
Colon Surgery Patients undergo colon surgery for a number of conditions including: colorectal cancer, polyps, inflammatory bowel disease (Crohn s disease and ulcerative colitis), colonic inertia, stricture
Bowel cancer risk in the under 50s. Greg Rubin Professor of General Practice and Primary Care
Bowel cancer risk in the under 50s Greg Rubin Professor of General Practice and Primary Care Prevalence of GI problems in the consulting population Thompson et al, Gut 2000 Number of patients % of patients
Colorectal Cancer Quality Performance Indicators
Publication Report Colorectal Cancer Quality Performance Indicators Patients diagnosed between April 2013 and March 2016 Publication date 27th June 2017 An Official Statistics Publication for Scotland
REVERSAL OF ILEOSTOMY. Patient information Leaflet
REVERSAL OF ILEOSTOMY Patient information Leaflet April 2017 WHAT IS A REVERSAL OF ILEOSTOMY? A reversal of ileostomy is an operation to close your temporary ileostomy. Your surgeon will make a cut in