Buzatti Kelly Cristine de Lacerda Rodrigues, Petroianu Andy
Hospital das Clínicas da Universidade Federal de Minas Gerais (UFMG), Instituto Alfa de Gastrenterologia, Belo Horizonte, MG, Brasil.
Faculdade de Medicina da Universidade Federal de Minas Gerais (UFMG), Departamento de Cirurgia, Belo Horizonte, MG, Brasil.
Rev Col Bras Cir. 2017 Jul-Aug;44(4):397-402. doi: 10.1590/0100-69912017004003.
The number of patients with bowel dysfunction due to the treatment of rectal cancer has increased during the recent decades. Anatomical and functional disorders after the removal of the rectum are followed by increased stool frequency, urgency, multiple evacuations and flatus or stool incontinence characterizing the low anterior resection syndrome - LARS. The purpose of this article is to present a review of the literature on current concepts and pathophysiological aspects of bowel dysfunction after resection of rectal cancer. It is essential to understand these mechanisms for a better management of patients and recovery of their quality of life.
近几十年来，因直肠癌治疗导致肠道功能障碍的患者数量有所增加。直肠切除术后的解剖和功能紊乱会导致排便频率增加、便急、多次排便以及排气或大便失禁，这些都是低位前切除综合征（LARS）的特征。本文的目的是对有关直肠癌切除术后肠道功能障碍的当前概念和病理生理方面的文献进行综述。了解这些机制对于更好地管理患者和恢复他们的生活质量至关重要。
