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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
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Low anterior resection syndrome.

Matthew C Hernandez1, Paul Wong1, Kurt Melstrom1

  • 1Department of Surgical Oncology, City of Hope National Medical Center, Duarte, California, USA.

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|May 24, 2023
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Summary

Low anterior resection syndrome (LARS) causes debilitating bowel issues after rectal surgery. A stepwise treatment approach can significantly improve LARS symptoms and enhance patients' quality of life.

Keywords:
LARSLARS treatmentneorectumoutcome

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Area of Science:

  • Colorectal Surgery
  • Gastroenterology
  • Patient Quality of Life

Background:

  • Low anterior resection syndrome (LARS) is a common clinical condition following rectal surgery.
  • It is characterized by a cluster of gastrointestinal symptoms, including increased bowel frequency, urgency, and diarrhea.
  • These symptoms significantly impair patients' quality of life.

Purpose of the Study:

  • To describe the clinical presentation of Low Anterior Resection Syndrome.
  • To outline a stepwise approach for managing LARS symptoms.
  • To emphasize the impact of LARS on patient quality of life.

Main Methods:

  • Review of clinical states resulting from anatomic changes to the rectum post-surgery.
  • Identification of common gastrointestinal symptoms associated with neorectum creation.
  • Evaluation of a stepwise treatment strategy for symptom management.

Main Results:

  • Patients undergoing rectal surgery with neorectum formation frequently experience persistent, debilitating symptoms.
  • Increased bowel frequency, urgency, and diarrhea are hallmark symptoms of LARS.
  • A structured, stepwise treatment approach can lead to symptom improvement for many patients.

Conclusions:

  • Low anterior resection syndrome is a significant clinical challenge impacting quality of life.
  • A stepwise management strategy is effective in alleviating LARS symptoms.
  • Conservative and more invasive treatment options should be considered based on symptom severity.