Quality of life in colorectal cancer. Stoma vs. nonstoma patients

摘要: PURPOSE: The bowel and sexual function of colorectal cancer patients undergoing either sphincter-saving or sphincter-sacrificing surgical procedures may be impaired. A legitimate question is how these different techniques affect the patients' quality life. METHODS: Seventeen studies were identified that compared at least one four aspects patient functioning (i.e.,physical, psychologic, social, sexual) between stoma non-stoma patients. RESULTS: Although literature does not yield entirely consistent findings, some long-term effects surgery can identified: 1) both groups are troubled by frequent irregular movements diarrhea; 2) report higher levels psychologic distress than do nonstoma patients; 3) although restrictions in their level social functioning, such problems more prevalent among with a colostomy; 4) male female consistently impaired intact sphincters. Results current review those other, related areas. CONCLUSIONS: generally fare better patients, they also suffer from physical impairments induced (e.g.,impaired function). These become as ultralow anastomosis frequently applied, resulting dysfunction distress. Well-designed needed examine whether quality-of-life benefits to gained use colostomy.