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Review of bowel dysfunction of rectal cancer patients during the first five years after sphincter-preserving surgery: A population in need of nursing attention
Affiliation:1. Colorectal Surgery - Champalimaud Foundation, Lisbon, Portugal;2. Radiation Oncology - Champalimaud Foundation, Lisbon, Portugal;3. Radiology - Champalimaud Foundation, Lisbon, Portugal;4. Pathology - Champalimaud Foundation, Lisbon, Portugal;5. Medical Oncology - Champalimaud Foundation, Lisbon, Portugal;6. Surgical Oncology - The Netherlands Cancer Institute, Amsterdam, the Netherlands;1. Department of Clinical Oncology, Leiden University Medical Center, P.O. Box 9600, 2300 RC Leiden, The Netherlands;2. Department of Surgery, Leiden University Medical Center, P.O. Box 9600, 2300 RC Leiden, The Netherlands;3. Department of Medical Statistics and Bioinformatics, Leiden University Medical Center, P.O. Box 9600, 2300 RC Leiden, The Netherlands;4. Department of Surgery P, Aarhus University Hospital, Tage-Hansens Gade 2, 8000 Aarhus C, Denmark;1. The Netherlands Cancer Institute, Department of Surgery, Amsterdam, the Netherlands;2. Maastricht University Medical Center+, Department of Surgery, the Netherlands;3. Maastricht University Medical Center+, Department of Radiology, the Netherlands;4. GROW School for Oncology and Developmental Biology, Maastricht, the Netherlands;5. Department of Radiation Oncology, MAASTRO Clinic, Maastricht, the Netherlands;6. Maastricht University Medical Center+, Department of Clinical Epidemiology and Medical Technology Assessment, the Netherlands;7. The Netherlands Cancer Institute, Department of Radiology, Amsterdam, the Netherlands
Abstract:PurposeThe aim of the review was to summarize the longitudinal changes in bowel dysfunction among patients with rectal cancer within the first five years following sphincter-preserving resection.MethodsA series of literature searches were conducted on six English-language electronic databases. Articles published after 1990 were searched. A total of 29 articles (reporting 27 studies) was found.ResultsBowel dysfunction, including an alteration in the frequency of bowel movements, incontinence, abnormal sensations, and difficulties with evacuation, is reported among patients with rectal cancer within the first five years after sphincter-preserving resection. These problems are most frequent and severe within the first year, especially within the first six months, and stabilize after one year. Some of the problems may last for years.ConclusionSupportive care for bowel dysfunction is needed, and should include the provision of information and psychological support delivered in multiple steps. Oncology nurses can play an important role in providing supportive care for rectal cancer patients with bowel dysfunction.
Keywords:Rectal cancer  Bowel dysfunction  Post-operation
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