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 19 November 2017

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News

Transanal endoscopic microsurgery improves quality of life

This month‘s Colorectal Disease examines the impact of transanal endoscopic microsurgery on functional outcome and quality of life.

News image

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Transanal endoscopic microsurgery is a minimal invasive technique for local excision of rectal tumors.

The procedure is performed via a rectoscope with a diametre of 4 cm.

There were improvements in 2 of the 4 Fecal Incontinence Quality of Life's domains
International Journal of Colorectal Disease

Dr Doornebosch and colleagues from the Netherlands assessed both functional outcome and quality of life after transanal endoscopic microsurgery.

Between 2004 and 2006, the team studied 47 patients prior to and at least 6 months after transanal endoscopic microsurgery.

Demographics, operative details and post-operative complications were recorded.

The team determined functional outcome using the Fecal Incontinence Severity Index.

Quality of life was measured using the EuroQol EQ-5D questionnaire and the Fecal Incontinence Quality of Life score.

The researchers found that 6 months after surgery, the median Fecal Incontinence Severity Index score decreased, depicting an improvement in fecal continence.

This improvement was most significant in tumors within 7 cm from the dentate line.

From the patients' perspective, post-operative quality of life was found to be higher.

The team observed a significant improvement in 2 of the 4 Fecal Incontinence Quality of Life's domains.

The domains of lifestyle, coping and behavior and embarrassment were correlated with the Fecal Incontinence Severity Index.

Dr Doornebosch's team concluded, "This study indicates transanal endoscopic microsurgery has no deteriorating effect on fecal continence."

"Moreover, once the tumor has been excised using transanal endoscopic microsurgery, quality of life is improved."

Int J Col Dis 2008: 23(7): 709-13
05 June 2008

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