medric medric
[닫기]
잠시만 기다려 주세요. 로딩중입니다.

Efficacy of biofeedback therapy for objective improvement of pelvic function in low anterior resection syndrome

Annals of Surgical Treatment and Research 2019년 97권 4호 p.194 ~ 201
 ( Lee Kyung-Ha ) - Chungnam National University College of Medicine Department of Surgery

 ( Kim Jin-Soo ) - Chungnam National University College of Medicine Department of Surgery
 ( Kim Ji-Yeon ) - Chungnam National University College of Medicine Department of Surgery

Abstract


Purpose: There is no established treatment of choice for low anterior resection syndrome (LARS). To evaluate the efficacy of biofeedback therapy for objective improvement of pelvic function in LARS, we performed the present study.

Methods: The primary endpoint was the change of Wexner score. Consenting patients between 20 and 80 years old with major LARS at least 2 months after sphincter preserving proctectomy for rectal cancer were enrolled. After recommendation of biofeedback therapy, patients who accept it were enrolled in the biofeedback group and patients who refuse were enrolled in the control group. Initial and follow-up evaluations were performed and analyzed.

Results: Fifteen and sixteen patients were evaluated in the control group and the biofeedback group, respectively. There was no statistically significant difference of LARS score between both groups. Decrease in Wexner score and increase in rectal capacity were significantly higher in the biofeedback group (odds ratio [OR], 5.386; 95% confidence interval [CI], 1.194?24.287; P = 0.028 and OR, 1.061; 95% CI, 1.002?1.123; P = 0.042).

Conclusion: Biofeedback therapy was superior for objective improvement of pelvic function to observation in LARS. It can be considered to induce more rapid improvement of major LARS.

키워드

Fecal incontinence; Manometry; Postoperative complications; Rectal neoplasm; Rehabilitation
원문 및 링크아웃 정보
  
등재저널 정보
SCI(E)
KCI
KoreaMed
KAMS