Cargando…

Effect of Biofeedback Therapy during Temporary Stoma Period in Rectal Cancer Patients: A Prospective Randomized Trial

Background: This prospective randomized controlled study was designed to evaluate the effect of biofeedback therapy (BFT) during temporary stoma period to prevent defecation dysfunction after sphincter-preserving surgery (SPS). Methods: Following SPS with temporary stoma, patients were divided accor...

Descripción completa

Detalles Bibliográficos
Autores principales: Cho, Hyeon-Min, Kim, Hyungjin, Yoo, RiNa, Kim, Gun, Kye, Bong-Hyeon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8584867/
https://www.ncbi.nlm.nih.gov/pubmed/34768692
http://dx.doi.org/10.3390/jcm10215172
_version_ 1784597552690102272
author Cho, Hyeon-Min
Kim, Hyungjin
Yoo, RiNa
Kim, Gun
Kye, Bong-Hyeon
author_facet Cho, Hyeon-Min
Kim, Hyungjin
Yoo, RiNa
Kim, Gun
Kye, Bong-Hyeon
author_sort Cho, Hyeon-Min
collection PubMed
description Background: This prospective randomized controlled study was designed to evaluate the effect of biofeedback therapy (BFT) during temporary stoma period to prevent defecation dysfunction after sphincter-preserving surgery (SPS). Methods: Following SPS with temporary stoma, patients were divided according to whether (BFT group) or not (Control group) they received BFT. BFT was performed once or twice a week during the temporary stoma period. Kegel exercise were advised to all the patients. Subjective defecation symptoms were evaluated according to Cleveland Clinic Incontinence Score (CCIS) as primary outcome at 12 months postoperatively. Manometric data of five time-points were also analyzed. Results: Twenty-one patients in the BFT group and 23 patients in the control group received anorectal physiologic testing. The incidence of CCIS of more than 9 points, which is the primary end point in this study, was not statistically different between BFT group and control group (p = 1.000). The liquid stool incontinence in the BFT group showed a better tendency (p = 0.06) at 12 months post-SPS. Time-dependent serial changes in maximal sensory threshold (Max RST) was significantly different between the BFT and control groups (p = 0.048). Also, the change of mean resting pressure (MRP) tended to be more stable in the BFT group (p = 0.074). Conclusions: The BFT in the period of temporary stoma may be related to liquid stool incontinence at 12 months post-SPS and lead to stable MRP and better Max RST. Therefore, BFT during temporary stoma might be helpful for preventing and minimizing defecation dysfunction in high risk patients after SPS, NCT01661829).
format Online
Article
Text
id pubmed-8584867
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-85848672021-11-12 Effect of Biofeedback Therapy during Temporary Stoma Period in Rectal Cancer Patients: A Prospective Randomized Trial Cho, Hyeon-Min Kim, Hyungjin Yoo, RiNa Kim, Gun Kye, Bong-Hyeon J Clin Med Article Background: This prospective randomized controlled study was designed to evaluate the effect of biofeedback therapy (BFT) during temporary stoma period to prevent defecation dysfunction after sphincter-preserving surgery (SPS). Methods: Following SPS with temporary stoma, patients were divided according to whether (BFT group) or not (Control group) they received BFT. BFT was performed once or twice a week during the temporary stoma period. Kegel exercise were advised to all the patients. Subjective defecation symptoms were evaluated according to Cleveland Clinic Incontinence Score (CCIS) as primary outcome at 12 months postoperatively. Manometric data of five time-points were also analyzed. Results: Twenty-one patients in the BFT group and 23 patients in the control group received anorectal physiologic testing. The incidence of CCIS of more than 9 points, which is the primary end point in this study, was not statistically different between BFT group and control group (p = 1.000). The liquid stool incontinence in the BFT group showed a better tendency (p = 0.06) at 12 months post-SPS. Time-dependent serial changes in maximal sensory threshold (Max RST) was significantly different between the BFT and control groups (p = 0.048). Also, the change of mean resting pressure (MRP) tended to be more stable in the BFT group (p = 0.074). Conclusions: The BFT in the period of temporary stoma may be related to liquid stool incontinence at 12 months post-SPS and lead to stable MRP and better Max RST. Therefore, BFT during temporary stoma might be helpful for preventing and minimizing defecation dysfunction in high risk patients after SPS, NCT01661829). MDPI 2021-11-04 /pmc/articles/PMC8584867/ /pubmed/34768692 http://dx.doi.org/10.3390/jcm10215172 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cho, Hyeon-Min
Kim, Hyungjin
Yoo, RiNa
Kim, Gun
Kye, Bong-Hyeon
Effect of Biofeedback Therapy during Temporary Stoma Period in Rectal Cancer Patients: A Prospective Randomized Trial
title Effect of Biofeedback Therapy during Temporary Stoma Period in Rectal Cancer Patients: A Prospective Randomized Trial
title_full Effect of Biofeedback Therapy during Temporary Stoma Period in Rectal Cancer Patients: A Prospective Randomized Trial
title_fullStr Effect of Biofeedback Therapy during Temporary Stoma Period in Rectal Cancer Patients: A Prospective Randomized Trial
title_full_unstemmed Effect of Biofeedback Therapy during Temporary Stoma Period in Rectal Cancer Patients: A Prospective Randomized Trial
title_short Effect of Biofeedback Therapy during Temporary Stoma Period in Rectal Cancer Patients: A Prospective Randomized Trial
title_sort effect of biofeedback therapy during temporary stoma period in rectal cancer patients: a prospective randomized trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8584867/
https://www.ncbi.nlm.nih.gov/pubmed/34768692
http://dx.doi.org/10.3390/jcm10215172
work_keys_str_mv AT chohyeonmin effectofbiofeedbacktherapyduringtemporarystomaperiodinrectalcancerpatientsaprospectiverandomizedtrial
AT kimhyungjin effectofbiofeedbacktherapyduringtemporarystomaperiodinrectalcancerpatientsaprospectiverandomizedtrial
AT yoorina effectofbiofeedbacktherapyduringtemporarystomaperiodinrectalcancerpatientsaprospectiverandomizedtrial
AT kimgun effectofbiofeedbacktherapyduringtemporarystomaperiodinrectalcancerpatientsaprospectiverandomizedtrial
AT kyebonghyeon effectofbiofeedbacktherapyduringtemporarystomaperiodinrectalcancerpatientsaprospectiverandomizedtrial