Bowel functions and quality of life after colorectal surgery

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Abstract

Aim
The aim of the study was to evaluate bowel functions and quality of life (QOL) after rectal or colonic surgery.
Patients and methods
The study included 108 patients obtained from a retrospective patient database performed in Ain Shams University Hospital and Minia University Hospital by using prospective validated questionnaires. It included patients who performed colorectal surgery either for benign or malignant conditions. We evaluated these functional problems as regards sex, age, length of follow-up, type of surgery whatever the cause benign or malignant, receiving neoadjuvant and adjuvant therapy, and the effect of laparoscopic surgery compared with open surgery. All the benign cases were done laparoscopic, which were 13 cases with sigmoid volvulus untested by colonoscopy and prepared for elective resection and nine cases with diverticulosis coli resistant to treatment and developed multiple attacks of diverticulitis prepared for elective resection.
Results
Neoadjuvant chemoradiotherapy (CRT) significantly affects the severity of bowel functions (=0.004). The type of operation had no statistically significant effect on bowel functions with the lowest score after low anterior resection. QOL is found to be affected significantly in patients receiving neoadjuvant CRT as regards secondary endpoints of general health, pain, emotional well-being, and social functions. Adjuvant chemotherapy has no significant effect on QOL in males or females. This study showed a nonsignificant difference neither in male or female bowel functions nor QOL after laparoscopic or open rectal resection.
Conclusion
We concluded that neoadjuvant CRT is the main risk factor for bowel dysfunctions and bad QOL.

Keywords

The Egyptian Journal of Surgery
Volume 40, Issue 4
October 2021
Pages 1262-1267

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