[Biofeedback training in the treatment of anterior resection syndrome]

The author has carried out an analysis on functional outcomes of surgical treatment of 45 patients with distal rectal cancer who underwent sphincter-saving operations (SSO) with terminal-terminal stapling anastomoses. All patients were divided in two groups. The investigational group had 30 patients with a biofeedback-training in 6-10 weeks after surgery and control group had 15 patients which had not received BFB. Functional advantages of BFB were confirmed by study results: BFB training allows reducing intraluminal pressure clinically evidenced by decrease in defecation frequency, urgency to defecate, incontinence and normalization of colonic transit. Improvement of functional outcomes of SSO in early terms after surgery is possible after BFB application which is non invasive technique with a steady effect and good tolerance. The pneumostimulation of neorectum allows in terms of 3-6 months after operation to reach about 20% better outcomes in comparison with BFB with constant pressure. The last one also shoved good results and do not need additional devices.