Value of Anorectal Manometry Before Ileo- or Sigmoidostomy Closure After Rectal Resection

German Society for Neurogastroenterology and Motility

Status: Unknown

Conditions: Quality of Life; Fecal Incontinence

Study type: Observational

Funder types: Other

Identifiers

NCT02196597

DGNM_ARM

Details and patient eligibility

About

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.

Enrollment: 30 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• all patients planned for ileo- or sigmoidostomy closure after rectal resection for rectal carcinoma

Exclusion criteria

• preoperative incontinence for solid stool
• dementia
• pregnancy
• latex allergy

Trial design

30 participants in 2 patient groups

resection with RCT

Description:

rectal resection in the case of rectal carcinoma with preoperative radiochemotherapy

resection without RCT

Description:

patients with rectal resection without preoperative radiochemotherapy