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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| resection with RCT | rectal resection in the case of rectal carcinoma with preoperative radiochemotherapy | ||
| resection without RCT | patients with rectal resection without preoperative radiochemotherapy |
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| Measure | Description | Time Frame |
|---|---|---|
| predictive 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. | 6 month postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| 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 | six month postoperative |
| predictive value of the surgeon's preoperative evaluation |
| Measure | Description | Time Frame |
|---|---|---|
| prediction of postoperative fecal incontinence by the score of Stadelmaier and Matzel (Score =18.230 - 0.94x anastomotic level - 0.18 x resting pressure + 3.72 x radiochemotherapy (done 1, not done 0) | Analysis of correlation between the preoperatively predicted Wexner score and the observed Wexner score six month postoperative. | six month postoperative |
Inclusion Criteria:
Exclusion Criteria:
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all patients operated for rectal carcinoma in three German centers
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Christian Pehl, MD | Contact | +49 (0)8741 603152 | christian.pehl@kkh-vilsbiburg.de |
| Name | Affiliation | Role |
|---|---|---|
| Christian Pehl, MD | German Society for Neurogastroenterology and Motility | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hosptial Landshut-Achdorf | Recruiting | Landshut | 84036 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 11013813 | Result | Stadelmaier U, Bittorf B, Meyer M, Hohenberger W, Matzel KE. [Can continence function after rectal resection be prognostically estimated?]. Chirurg. 2000 Aug;71(8):932-8. doi: 10.1007/s001040051158. German. |
| Label | URL |
|---|---|
| Homepage of the German Society for Neurogastroenterology and Motility | View source |
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| ID | Term |
|---|---|
| D005242 | Fecal Incontinence |
| ID | Term |
|---|---|
| D012002 | Rectal Diseases |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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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 |
| six month postoperative |
| Hospital Memmingen | Recruiting | Memmingen | 87700 | Germany |
|
| Hospital Vilsbiburg | Recruiting | Vilsbiburg | 81437 | Germany |
|