Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | sâmbătă, 23 martie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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THE OSTOMIES IN PATIENTS WITH NONMETASTATIC COLON CANCER. A QUALITY OF LIFE PROSPECTIVE STUDY
Paula Popa (1,2), C. Pleşa (2), C.N. Neacşu (2), D. Vintilă (2), T. Ţăranu (2),
Liliana Forţu (2), Şt. O. Georgescu (2)
(1) PhD student, „Gr. T. Popa” University of Medicine and Pharmacy Iaşi
(2) Second Surgical Clinic, „St Spiridon” University Hospital Iaşi
„Gr. T. Popa” University of Medicine and Pharmacy Iaşi
Jurnalul de chirurgie 2011; 7 (2): 178-187
Full text:
Format PDF (Română/Romanian)

Abstract:

Background. Colorectal cancer has a high incidence and 20% from these cases are admitted with complications. Unfortunately, these complications constrain frequently the surgeon to making a stoma. Material and method. During three years, between 2008 and 2010, we performed a prospective cohort study on 43 consecutive patients with nonmetastatic colon cancer surgically stomized in two surgical departments from University Hospital „Sf. Spiridon” Iaşi, Romania. The documented nonmetastatic colon cancer prior to surgery was the main selection criteria. Preoperatively the subjects answered to the items of the EORTC QLQ-C30 version 3.0 questionnaire. The stomized patiens with nonmetastatic colon cancer remained in study. A new interview based on EORTC QLQ-C30 questionnaire after three months from the initial surgery represented the recruitment endpoint. There were 31 men (72.1%) and 12 women (27.9%) with mean age 64.8±9.34 years (range 47 to 85 years). The reconstructive surgery was performed in 12 patients. The quality of life (QoL) of these subjects was measured again after three months from the reconstructive procedure. We assessed the following independent variables: gender, age, comorbidities, time between hospital admission and surgical procedure, tumor site, surgical procedure, ostomy type and chemotherapy. Results. After three months from the ostomy we registered a significant increase in global health status (QL), physical functioning (PF), role functioning (RF), emotional functioning (EF) and cognitive functioning (CF). Only social functioning remained insignificantly changed. A comparison between the registered QL and functioning scales with the reference scores showed the significant lower levels of the QoL after ostomy, excepting the CF. The symptoms scale was significantly improved after surgery with no significant differences from the EORTC reference values. The unresectable tumors and the ileostomy were the main variables correlate with a decrease in QoL status. In our sample, the EF and SF were the most affected functions. The statistical analysis on the patients with reconstructive surgery showed a significant increase in QoL status and the compensation of the previous lower levels of the EF and SF. Conclusions. The ostomies save the life of the patients with nonmetastatic complicated colon cancer and lead to the symptoms remission, but some problems regarding the adaptation at this undesired condition remain outstanding. Especially the patient with fixed ostomies requires the help from a psychologist and stomatherapist.

KEY WORDS: QUALITY OF LIFE, COLON CANCER, ILEOSTOMY, COLOSTOMY

Correspondence to: Dr. Paula Popa, Second Surgical Clinic, „St Spiridon” University Hospital Iaşi, B-dul Independenţei nr. 1, Iaşi, România, 700111



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.