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Rectal Resection

  • Giovanni B. Doglietto
  • Carlo Ratto
  • Angelo Parello
  • Lorenza Donisi
  • Francesco Litta

Abstract

The frequency of fecal incontinence (FI) in patients submitted to rectal resection (RR) for cancer ranges between 2% and 40% [1-6]. In fact, despite the significant improvements registered over the last few decades in the treatment of rectal cancer, not only in the control of the neoplasm itself and sparing of the anal sphincters but also in the preservation of urinary and sexual function [6-19], FI can occur, with severe detrimental effects on patients’ quality of life. In these patients, FI is a disabling clinical condition, the etiology of which is complex and not yet fully elucidated. It is regarded as a component of “anterior resection syndrome,” including an increased number of daily bowel movements, clustering, FI, and soiling after this operation [20-22]. In some cases, urinary incontinence also contributes to worsening of the clinical condition. Even if these patients are comforted by the fact that they have won their fight against the cancer, their personal and social life suffers considerably. Unfortunately, the minimalist attitude of some physicians prevents these patients from exploring the possibilities of treatment other than an appropriate diet or stimulating systems to empty the bowel completely.

Keywords

Rectal Cancer Fecal Incontinence Anal Sphincter Total Mesorectal Excision Radiat Oncol Biol Phys 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Italia 2007

Authors and Affiliations

  • Giovanni B. Doglietto
  • Carlo Ratto
  • Angelo Parello
  • Lorenza Donisi
  • Francesco Litta

There are no affiliations available

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