Gastroenterology integration in specialized clinics for late complications after colorectal cancer surgery
Main Article Content
Abstract
The integration of gastroenterology expertise in clinics managing late complications of colorectal and anal cancer surgery is an advancement in patient care. This paper explores the multifaceted role of gastroenterologists in such settings, emphasizing diagnostic evaluation, personalized treatment planning, and the management of complex gastrointestinal symptoms. There is an obvious necessity for gastroenterological expertise to address complex issues such as diarrhea, malabsorption, discomfort, pain, bleeding, and incontinence, which are frequently under-treated in routine colorectal surgical outpatient care. In the article, we give recommendations for initial assessment, diagnostic workup, treatment strategies, follow-up, and monitoring of these issues. Highlighting the importance of a multidisciplinary approach, we discuss how gastroenterologists contribute to improved treatment outcomes and patient quality of life after surgery for colorectal and anal cancer.
Article Details
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
https://doi.org/10.46889/JSRP.2024.5104
2. Rosenberg J, Oggesen BT, Hamberg MLS, Danielsen AK. Establishment of a nurse-led clinic for late complications after colorectal and anal cancer surgery: a descriptive study. Support Care Cancer. 2022;30(7):6243-6250. https://doi.org/10.1007/s00520-022-07061-y.
3. Haas S, Mikkelsen AH, Kronborg CJS, Oggesen BT, Møller PF, Fassov J, Frederiksen NA, Krogsgaard M, Graugaard-Jensen C, Ventzel L, Christensen P, Emmertsen KJ. Management of treatment-related sequelae following colorectal cancer. Colorectal Dis. 2023;25(3):458-488. https://doi.org/10.1111/codi.16299.
4. Bharucha AE, Dunivan G, Goode PS, Lukacz ES, Markland AD, Matthews CA, Mott L, Rogers RG, Zinsmeister AR, Whitehead WE, Rao SS, Hamilton FA. Epidemiology, pathophysiology, and classification of fecal incontinence: state of the science summary for the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) workshop. Am J Gastroenterol. 2015;110(1):127-36. https://doi.org/10.1038/ajg.2014.396.
5. Norton C, Whitehead WE, Bliss DZ, Harari D, Lang J; Conservative Management of Fecal Incontinence in Adults Committee of the International Consultation on Incontinence. Management of fecal incontinence in adults. Neurourol Urodyn. 2010;29(1):199-206. https://doi.org/10.1002/nau.20803.
6. Walters JR, Pattni SS. Managing bile acid diarrhoea. Therap Adv Gastroenterol. 2010;3(6):349-57. https://doi.org/10.1177/1756283X10377126.
7. Mena Bares LM, Carmona Asenjo E, García Sánchez MV, Moreno Ortega E, Maza Muret FR, Guiote Moreno MV, Santos Bueno AM, Iglesias Flores E, Benítez Cantero JM, Vallejo Casas JA. 75SeHCAT scan in bile acid malabsorption in chronic diarrhoea. Rev Esp Med Nucl Imagen Mol. 2017;36(1):37-47. https://doi.org/10.1016/j.remn.2016.08.005.
8. Wedlake L, A'Hern R, Russell D, Thomas K, Walters JR, Andreyev HJ. Systematic review: the prevalence of idiopathic bile acid malabsorption as diagnosed by SeHCAT scanning in patients with diarrhoea-predominant irritable bowel syndrome. Aliment Pharmacol Ther. 2009;30(7):707-17. https://doi.org/10.1111/j.1365-2036.2009.04081.x.
9. Oggesen BT, Hamberg MLS, Thomsen T, Rosenberg J. Exploring patients' perspectives on late complications after colorectal and anal cancer treatment: a qualitative study. Curr Oncol. 2023;30(8):7532-7541.
https://doi.org/10.3390/curroncol30080546.
10. Keendjele TPT, Eelu HH, Nashihanga TE, Rennie TW, Hunter CJ. Corn? When did I eat corn? Gastrointestinal transit time in health science students. Adv Physiol Educ. 2021;45(1): 103-108. https://doi.org/10.1152/advan.00192.2020. PMID: 33544037.
11. Ismail FQ, Öberg S, Wozniak AB, Oggesen BT, Rosenberg J. Variation in the length of terminal ileum specimen in right hemicolectomy: a descriptive study. ANZ J Surg. 2023;93(4):951-955.
https://doi.org/10.1111/ans.18153.
12. Cerdán Miguel J, Arroyo Sebastián A, Codina Cazador A, de la Portilla de Juan F, de Miguel Velasco M, de San Ildefonso Pereira A, Jiménez Escovar F, Marinello F, Millán Scheiding M, Muñoz Duyos A, Ortega López M, Roig Vila JV, Salgado Mijaiel G. Baiona's Consensus Statement for Fecal Incontinence. Spanish Association of Coloproctology. Cir Esp (Engl Ed). 2024 Mar;102(3):158-173. https://doi.org/10.1016/j.cireng.2023.07.008