Authors (including presenting author) :
Lung G(1), Lam CP(1)
Affiliation :
Department of Surgery, United Christian Hospital
Keyword 2: :
telephone phone follow up
Keyword 3: :
low anterior resection syndrome
Introduction :
Sphincter Preserving Surgery (SPS) is the most common treatment for rectal cancer patients. However, Low Anterior Resection Syndrome (LARS) characterized by unpredictable bowel function and related symptoms can significantly impact patient’s quality of life post-operatively. This study aims to incorporate LARS assessment into our current practice for patients undergoing stoma reversal following sphincter-preserving surgery.
Objectives :
1.To identify the prevalence of LARS in patients who undergone stoma reversal with prior sphincter reserving surgery in United Christian Hospital from 2024 to 2025
2. To provide tailored lifestyle modification advice for patients with LARS
3.To refer patients with major LARS (score of 30-42) to the Colorectal Functional Nurse Clinic (CRFN) for specialized care.
Methodology :
Patients who underwent stoma reversal with prior SPS more than 3 months from 1st April 2024 to 31st March 2025 in United Christian Hospital were contacted by the colorectal nursing team via telephone. LARS was assessed using a validated LARS score questionnaire comprising five questions. The scores ranging from 0 to 42(0 – 20: no LARS, 21 – 29: minor LARS, 30 – 42: major LARS).
Result & Outcome :
Of the 23 eligible patients, 14 patients were successfully reached. Four patients were identified with major LARS (score 30-42) and 4 four were minor LARS (score 21-29). Prevalence of LARS in the reachable patients was 57.2%. Tailored lifestyle modification advice was provided to all patients with LARS. Those experiencing major LARS were subsequently referred to the CRFN for further management.
