Correlation of Two Different Bowel Dysfunction Questioneria on the Psychological State of the Rectal Cancer Patients

Year 2023, Volume: 14 Issue: 4, 671 - 677, 30.12.2023

Sami Benli , Deniz Tazeoğlu , Alper Zıblak , Tahsin Çolak

https://doi.org/10.18663/tjcl.1317421

Abstract

Aim: Most patients have impaired bowel function after sphincter-sparing surgery (SPS) combined with total mesorectal excision (TME). This study evaluated bowel dysfunction's effect on a patient's psychological state using the LARS Questionnaire (LARS-Q) and the Memorial Sloan Kettering Bowel Function Instrument (MSK-BFI).
Material and Methods: Between June 2019 and June 2022, 127 patients operated on for rectal cancer with TME and SPS were examined regarding bowel dysfunction in the sixth postoperative month. The LARS score and MSK-BFI assessed bowel function. Beck anxiety inventory (BAI), Beck depression inventory (BDI), and Beck hopelessness inventory (BHI) were also applied to the patients. The correlation of LARS-Q and MSK-BFI questionnaire scores was examined with each other and the other three questionnaire scores.
Results: Major LARS was seen in 29.9% of the patients. MSK-BFI scores were found to be 60. The median MSK-BFI scores for no LARS, minor LARS, and major LARS were 77, 68, and 52, respectively. Strong correlations were found between MSK-BFI and LARS-Q (rs -0.63). When the correlation between LARS-Q and BAI, BDI, and BHI was evaluated, rs 0.38, rs 0.49, and rs 0.56 were found, respectively. When the correlation between MSK-BFI and BAI, BDI, and BHI was evaluated, rs -0.67, -0.71, and -0.74 were found, respectively.
Conclusion: Bowel dysfunction is a prevalent condition after sphincter-sparing rectal cancer surgery. Impaired sphincter functions significantly affect patients' social and emotional aspects and negatively affect their quality of life.

Keywords

Anorectal function, MSK-BFI, LARS-Q, bowel dysfunction, low anterior resection syndrome.

İki Farklı Bağırsak Disfonksiyonu Anketinin Rektal Kanser Hastalarının Psikolojik Durumu Üzerindeki Korelasyonu

Abstract

Amaç: Sfinkter koruyucu cerrahi ile birlikte total mezorektal eksizyon (TME) sonrasında hastaların çoğunda barsak fonksiyonları bozulur. Bu çalışma, LARS Anketi (LARS-Q) ve Memorial Sloan Kettering Bağırsak Fonksiyonu Ölçeği (MSK-BFI) kullanılarak bağırsak disfonksiyonunun hastanın psikolojik durumu üzerindeki etkisini değerlendirmeyi amaçladı.
Gereç ve Yöntemler: Haziran 2019-Haziran 2022 tarihleri arasında rektum kanseri nedeniyle TME ve SPS ile opere edilen 127 hasta postoperatif 6. ayda barsak disfonksiyonu açısından incelendi. LARS skoru ve MSK-BFI bağırsak fonksiyonunu değerlendirdi. Hastalara Beck anksiyete envanteri (BAI), Beck depresyon envanteri (BDI) ve Beck umutsuzluk envanteri (BHI) de uygulandı. LARS-Q ve MSK-BFI anket puanlarının birbirleriyle ve diğer üç anket puanları ile korelasyonu incelenmiştir.
Bulgular: Majör LARS hastaların %29.9'unda görüldü. MSK-BFI skorları 60 bulundu. LARS olmayan, minör LARS ve majör LARS için ortanca MSK-BFI skorları sırasıyla 77, 68 ve 52 idi. MSK-BFI ve LARS-Q arasında güçlü korelasyonlar bulundu (rs -0.63). LARS-Q ile BAI, BDI ve BHI arasındaki korelasyon değerlendirildiğinde sırasıyla rs 0.38, rs 0.49 ve rs 0.56 bulundu. MSK-BFI ile BAI, BDI ve BHI arasındaki korelasyon değerlendirildiğinde sırasıyla rs -0,67, -0,71 ve -0,74 bulundu.
Sonuç: Sfinkter koruyucu rektal kanser cerrahisi sonrası barsak disfonksiyonu sık görülen bir durumdur. Bozulmuş sfinkter fonksiyonları hastaların sosyal ve emosyonel yönlerini önemli ölçüde etkilemekte ve yaşam kalitelerini olumsuz etkilemektedir.

Keywords

Anorektal fonksiyon, MSK-BFI, LARS-Q, bağırsak fonksiyon bozukluğu, low anterior rezeksiyon sendromu.

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