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International Journal of Colorectal Disease

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Open Access 01-07-2008 | Original Article

Impact of transanal endoscopic microsurgery on functional outcome and quality of life

Authors: P. G. Doornebosch, M. P. Gosselink, P. A. Neijenhuis, W. R. Schouten, R. A. E. M. Tollenaar, E. J. R. de Graaf

Published in: International Journal of Colorectal Disease | Issue 7/2008

Abstract

Introduction

Transanal endoscopic microsurgery (TEM) is a minimal invasive technique for local excision of rectal tumours. The procedure is performed via a rectoscope with a diametre of 4 cm. The aim of this prospective study was to assess both functional outcome and quality of life after TEM.

Patients and methods

Between 2004 and 2006, 47 patients were studied prior to and at least 6 months after TEM. Demographics, operative details and post-operative complications were recorded. Functional outcome was determined using the Faecal Incontinence Severity Index (FISI). Quality of life was measured using the EuroQol EQ-5D questionnaire and the Faecal Incontinence Quality of Life (FIQL) score.

Results

Six months after surgery, median FISI score was found to be decreased (p < 0.01), depicting an improvement in faecal continence. This improvement was most significant in tumours within 7 cm from the dentate line (p = 0.01). From the patients’ perspective, post-operative quality of life was found to be higher (p < 0.02). A significant improvement was observed in two of the four FIQLS domains (embarrassment, p = 0.03; lifestyle, p = 0.05). The domains of lifestyle, coping and behaviour and embarrassment were correlated with the FISI (all p < 0.05).

Conclusion

This study indicates TEM has no deteriorating effect on faecal continence. Moreover, once the tumour has been excised using TEM, quality of life is improved.

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Title: Impact of transanal endoscopic microsurgery on functional outcome and quality of life
Authors: P. G. Doornebosch
M. P. Gosselink
P. A. Neijenhuis
W. R. Schouten
R. A. E. M. Tollenaar
E. J. R. de Graaf
Publication date: 01-07-2008
Publisher: Springer-Verlag
Published in: International Journal of Colorectal Disease / Issue 7/2008
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-008-0442-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Impact of transanal endoscopic microsurgery on functional outcome and quality of life

Abstract

Introduction

Patients and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Patients and methods

Results

Conclusion

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