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Low anterior resection syndrome after rectal resection management: multicentre randomized clinical trial of transanal irrigation with a dedicated device (cone catheter) versus conservative bowel management.

作者信息

Meurette Guillaume, Faucheron Jean-Luc, Cotte Eddy, Denost Quentin, Portier Guillaume, Loriau Jerôme, Hansen Andreas Wolff, Vicaut Eric, Lakkis Zaher

机构信息

Department of Visceral Surgery, Hôpitaux Universitaires de Genève, Geneva, Switzerland.

Colorectal Surgery Unit, Visceral Surgery and Acute Care Surgery Department, CHU Grenoble Alpes, Grenoble, France.

出版信息

Br J Surg. 2023 Aug 11;110(9):1092-1095. doi: 10.1093/bjs/znad078.

DOI:10.1093/bjs/znad078
PMID:36977128
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10416684/
Abstract
摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40f1/10416684/27771e547786/znad078f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40f1/10416684/27771e547786/znad078f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40f1/10416684/27771e547786/znad078f1.jpg

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Tech Coloproctol. 2025 Aug 15;29(1):161. doi: 10.1007/s10151-025-03201-8.
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Transanal irrigation is the most effective treatment for major LARS.经肛门冲洗是重度低位前切除综合征最有效的治疗方法。
Tech Coloproctol. 2025 Jun 7;29(1):129. doi: 10.1007/s10151-025-03171-x.
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The efficacy of retrograde and antegrade enemas in the management of low anterior resection syndrome in patients undergoing rectal resection: a systematic review and meta-analysis.

本文引用的文献

1
A Randomized Controlled Clinical Trial of Transanal Irrigation Versus Conservative Treatment in Patients With Low Anterior Resection Syndrome After Rectal Cancer Surgery.直肠癌手术后低位前切除综合征患者经肛门冲洗与保守治疗的随机对照临床试验
Ann Surg. 2023 Jan 1;277(1):30-37. doi: 10.1097/SLA.0000000000005482. Epub 2022 Jul 7.
2
The Longitudinal Course of Low-anterior Resection Syndrome: An individual Patient Meta-analysis.低位前切除综合征的纵向病程:个体患者荟萃分析。
Ann Surg. 2022 Jul 1;276(1):46-54. doi: 10.1097/SLA.0000000000005423. Epub 2022 Feb 17.
3
International Consensus Definition of Low Anterior Resection Syndrome.
逆行灌肠和顺行灌肠在直肠切除患者低位前切除综合征管理中的疗效:一项系统评价和荟萃分析
BMC Gastroenterol. 2025 May 23;25(1):401. doi: 10.1186/s12876-025-03985-x.
4
Optimal interventions for low anterior resection syndrome: Bayesian network meta-analysis of randomized controlled trials.低位前切除术综合征的最佳干预措施:随机对照试验的贝叶斯网络Meta分析
Tech Coloproctol. 2025 Feb 13;29(1):64. doi: 10.1007/s10151-024-03099-8.
5
Systematic review of the management options available for low anterior resection syndrome (LARS).低位前切除术综合征(LARS)可用管理方案的系统评价。
Tech Coloproctol. 2025 Feb 4;29(1):58. doi: 10.1007/s10151-024-03090-3.
6
Consensus-driven protocol for transanal irrigation in patients with low anterior resection syndrome and functional constipation.经共识驱动的低前切除综合征和功能性便秘患者经肛灌洗方案。
Tech Coloproctol. 2024 Nov 11;28(1):153. doi: 10.1007/s10151-024-03033-y.
7
Is transanal irrigation the best treatment possibility for low anterior resection syndrome? A multicenter, randomized clinical trial: study protocol.经肛门冲洗是低位前切除术综合征的最佳治疗选择吗?一项多中心随机临床试验:研究方案。
Front Surg. 2024 May 13;11:1384815. doi: 10.3389/fsurg.2024.1384815. eCollection 2024.
国际低位前切除综合征共识定义。
Dis Colon Rectum. 2020 Mar;63(3):274-284. doi: 10.1097/DCR.0000000000001583.
4
A randomized trial comparing transanal irrigation and percutaneous tibial nerve stimulation in the management of low anterior resection syndrome.一项比较经肛门灌洗与经皮胫神经刺激治疗低位前切除综合征的随机试验。
Colorectal Dis. 2020 Mar;22(3):303-309. doi: 10.1111/codi.14870. Epub 2019 Oct 21.
5
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Tech Coloproctol. 2018 Jul;22(7):519-527. doi: 10.1007/s10151-018-1829-7. Epub 2018 Aug 6.
6
Teaching TransAnal Irrigation (TAI): why it is mandatory.经肛门冲洗教学(TAI):为何必不可少。
Tech Coloproctol. 2018 Mar;22(3):239-241. doi: 10.1007/s10151-018-1768-3. Epub 2018 Mar 12.
7
Treatment possibilities for low anterior resection syndrome: a review of the literature.低位前切除术综合征的治疗可能性:文献综述
Int J Colorectal Dis. 2018 Mar;33(3):251-260. doi: 10.1007/s00384-017-2954-x. Epub 2018 Jan 8.
8
Global audit on bowel perforations related to transanal irrigation.关于经肛门冲洗相关肠穿孔的全球审计。
Tech Coloproctol. 2016 Feb;20(2):109-15. doi: 10.1007/s10151-015-1400-8. Epub 2015 Nov 16.
9
Low anterior resection syndrome and quality of life: an international multicenter study.低位前切除综合征与生活质量:一项国际多中心研究。
Dis Colon Rectum. 2014 May;57(5):585-91. doi: 10.1097/DCR.0000000000000116.
10
Consensus review of best practice of transanal irrigation in adults.成人经肛门灌洗术最佳实践的共识性综述。
Spinal Cord. 2013 Oct;51(10):732-8. doi: 10.1038/sc.2013.86. Epub 2013 Aug 20.