Low Anterior Resection Syndrome (LARS)
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Low Anterior Resection Syndrome (LARS)- Key Concepts
- Treatment Options
- Nonsurgical Interventions
- Medical Therapy
- Topical Treatments
- Biofeedback
- Retrograde Colonic Irrigation (RCI)
- Surgical Interventions
- Conclusion
- References
- Introduction
- Etiology
- Definition
- LARS: Scope of the Problem
- Risk Factors for LARS
- Prediction of LARS for Patient Counseling and Surgical Planning
- Prevention of LARS
- Diagnosis
Bowel Dysfunction Low Anterior Resection Syndrome
Understanding Low Anterior Resection Syndrome: Definitions, Treatments, and Ways to Improve Quality of Life
Malignancy- A 64-year-old man received neoadjuvant chemoradiotherapy followed by a low anterior resection 3 years ago for the treatment of rectal cancer. He complains of persistent fecal urgency, occasional fecal incontinence, clustered stools, and incomplete evacuation, which has persisted since the time of surgery. What is the most likely cause of these symptoms?
- A 68-year-old man with a history of a hemorrhoidectomy and fecal urgency presents with a T3n1m0 rectal cancer 5 cm from the anal verge. He has no family history of colorectal cancer. What is the most important consideration when counseling the patient about his surgical treatment options?
- Proctectomy for Rectal Cancer
Malignancy- A perimenopausal female patient with a microsatellite stable rectosigmoid cancer is scheduled for a laparoscopic low anterior resection (LAR). Prophylactic oophorectomy is recommended in which of the following patient scenarios?
- A 64-year-old man recently underwent low anterior resection for stage III adenocarcinoma (T3, N1) of the mid-rectum after neoadjuvant chemoradiotherapy. He reports mild urinary incontinence and that he can achieve an erection and orgasm but does not ejaculate. Injury to which nerve structures is the most likely cause of his symptoms?
- A 55-year-old male patient presents to the clinic for evaluation of intermittent fecal incontinence and fecal urgency. The patient has a history of stage III rectal cancer for which he completed total neoadjuvant therapy (TNT) and low anterior resection (LAR) with diverting loop ileostomy. He is now 3 months status post ileostomy reversal. Despite fiber supplementation and intermittent antidiarrheal medication use, he experiences stool stacking and incomplete evacuation 3 days per week. The patient’s symptoms are consistent with
- Perioperative
- Colorectal Cancer: Minimally Invasive Surgery
- Fecal Incontinence: Evaluation and Treatment
Management of Fecal Incontinence (2023)- Anastomotic Construction
- About ASCRS Textbook of Colon and Rectal Surgery
- Considerations for Geriatric Patients Undergoing Colorectal Surgery
- Management of Rectal Cancer (2020)
- Management of Rectal Cancer 2023 Supplement (2023)