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Stoma-related symptoms in patients operated for rectal cancer with abdominoperineal excision

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Abstract

Purpose

The primary aim of this study was to characterize the frequency, severity, and distress of symptoms from the colostomy and colostomy acceptance in rectal cancer patients. The secondary aims were to study the symptomatic parastomal herniation, its relationship to stoma-related symptoms, and potential risk factors for the development of symptomatic parastomal herniation.

Methods

Data was collected from the Swedish Colorectal Cancer Registry and from surgical charts. Patients operated for rectal cancer with an abdominoperineal excision in Sweden between 2007 and 2009 and alive 3 years postoperatively were contacted (n = 852). Patients who consented to participate, had a colostomy constructed during the abdominoperineal excision, and who answered a questionnaire 3 years postoperative were included (n = 495). Answers were analyzed with emphasis on stoma-related symptoms and their intensity as well as the level of distress associated with the symptoms.

Results

Almost 90 % of patients did not feel limited in their daily life by their colostomy. Patients with symptomatic parastomal hernia had a 53 % higher risk of flatulence. Fifty-six patients developed symptomatic parastomal hernia (11 %). The only risk factor associated with the development of symptomatic parastomal hernia was high body mass index (BMI).

Conclusions

This study shows that most patients do not feel limited by their stoma 3 years after surgery for rectal cancer. Symptomatic parastomal hernia was associated with high BMI but not with the surgical technique.

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Authors and Affiliations

  1. Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, SSORG—Scandinavian Surgical Outcomes Research Group, Sahlgrenska University Hospital/Östra, SE-416 85, Gothenburg, Sweden

    Adiela Correa Marinez, Elisabeth González, Kajsa Holm, David Bock, Mattias Prytz, Eva Haglind & Eva Angenete

  2. Department of Surgery, NU-hospital Group, Trollhättan, Sweden

    Mattias Prytz

Authors
  1. Adiela Correa Marinez
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  2. Elisabeth González
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  3. Kajsa Holm
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  4. David Bock
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  5. Mattias Prytz
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  6. Eva Haglind
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  7. Eva Angenete
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Correspondence to Adiela Correa Marinez.

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Funding

ALF—The agreement concerning research and education of doctors at Sahlgrenska University Hospital, the Swedish Research Council, the Swedish Society of Medicine, and The Health and Medical Care Committee of the Regional Executive Board, Region Västra Götaland.

Conflict of interest

The authors declare that they have no conflict of interest.

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Marinez, A.C., González, E., Holm, K. et al. Stoma-related symptoms in patients operated for rectal cancer with abdominoperineal excision. Int J Colorectal Dis 31, 635–641 (2016). https://doi.org/10.1007/s00384-015-2491-4

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  • DOI: https://doi.org/10.1007/s00384-015-2491-4

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