{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T11:58:37Z","timestamp":1790855917916,"version":"4.1.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2022,7,18]],"date-time":"2022-07-18T00:00:00Z","timestamp":1658102400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,7,18]],"date-time":"2022-07-18T00:00:00Z","timestamp":1658102400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Updates Surg"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The short-stump and high-anastomosis pull-through procedure (SHiP) is a newly introduced technique in the treatment of rectal cancer. This procedure does not involve the creation of a diverting ostomy with great improvement of the patients\u2019 quality of life in the post-operative period. However, functional post-operative alterations such as low anterior rectal resection syndrome (LARS) may occur. In this context, trans-anal irrigation (TAI) may represent a viable option in the treatment and management of LARS symptoms. The aim of the present study is to investigate the role of TAI in patients operated on SHiP procedure for low rectal cancer. A prospective database of 17 patients who underwent a SHiP procedure was maintained from April 2019 to December 2021. Anal continence and functional outcomes were assessed through LARS score and Cleveland Clinic Incontinence Score (CCIS), respectively. All patients with a LARS score\u2009&gt;\u200921 underwent TAI in the post-operative period. LARS median value was 36 (IQR\u2009=\u20098) and drastically improved after TAI treatment to 3 (IQR\u2009=\u20093), as the CCIS at a mean follow-up of 9\u00a0months (SD\u2009\u00b1\u20095.02). Good functional result was reached in 12 out of 13 patients (92%). Our study confirms that patients with severe post-operative dysfunction could benefit from the use of TAI.<\/jats:p>","DOI":"10.1007\/s13304-022-01334-1","type":"journal-article","created":{"date-parts":[[2022,7,18]],"date-time":"2022-07-18T03:17:37Z","timestamp":1658114257000},"page":"1787-1790","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Preliminary functional results after transanal irrigation in patients undergoing SHiP procedure for low rectal cancer"],"prefix":"10.1007","volume":"74","author":[{"given":"Francesco","family":"Bianco","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastiano","family":"Grassia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3763-8847","authenticated-orcid":false,"given":"Marta","family":"Goglia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaetano","family":"Gallo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,7,18]]},"reference":[{"key":"1334_CR1","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1007\/s10151-015-1273-x","volume":"19","author":"F Bianco","year":"2015","unstructured":"Bianco F, De Franciscis S, Belli A, Ragone V, Romano GM (2015) A pull-through delayed \u201chigh\u201d coloanal anastomosis: new tricks to refresh an old procedure. Tech Coloproctol 19:259\u2013261. https:\/\/doi.org\/10.1007\/s10151-015-1273-x","journal-title":"Tech Coloproctol"},{"issue":"1","key":"1334_CR2","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1007\/s13304-020-00919-y","volume":"73","author":"V De Simone","year":"2021","unstructured":"De Simone V, Persiani R, Biondi A, Litta F, Parello A, Campenn\u00ec P, Orefice R, Marra A, Costa A, D\u2019Ugo D, Ratto C (2021) One-year evaluation of anorectal functionality and quality of life in patients affected by mid-to-low rectal cancer treated with transanal total mesorectal excision. Updates Surg 73(1):157\u2013164. https:\/\/doi.org\/10.1007\/s13304-020-00919-y","journal-title":"Updates Surg"},{"issue":"7","key":"1334_CR3","doi-asserted-by":"publisher","first-page":"519","DOI":"10.1007\/s10151-018-1829-7","volume":"22","author":"J Martellucci","year":"2018","unstructured":"Martellucci J, Sturiale A, Bergamini C, Boni L, Cianchi F, Coratti A, Valeri A (2018) Role of transanal irrigation in the treatment of anterior resection syndrome. Tech Coloproctol 22(7):519\u2013527. https:\/\/doi.org\/10.1007\/s10151-018-1829-7","journal-title":"Tech Coloproctol"},{"key":"1334_CR4","doi-asserted-by":"publisher","DOI":"10.1111\/codi.16087","author":"F Bianco","year":"2022","unstructured":"Bianco F, Novi A, Incollingo P, Gallo G, Grassia S (2022) The short stump and high anastomosis pull-through procedure for delayed coloanal anastomosis with no protective stoma for low rectal cancer - a video vignette. Colorectal Dis. https:\/\/doi.org\/10.1111\/codi.16087 (Epub ahead of print. PMID: 35133705)","journal-title":"Colorectal Dis"},{"issue":"12","key":"1334_CR5","doi-asserted-by":"publisher","first-page":"1495","DOI":"10.1016\/j.ijsu.2014.07.013","volume":"12","author":"E Von Elm","year":"2014","unstructured":"Von Elm E, Altman DG, Egger M, Pocock SJ, G\u00f8tzsche PC, Vandenbroucke JP, Initiative STROBE (2014) The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Int J Surg 12(12):1495\u20131499. https:\/\/doi.org\/10.1016\/j.ijsu.2014.07.013","journal-title":"Int J Surg"},{"key":"1334_CR6","doi-asserted-by":"publisher","first-page":"728","DOI":"10.1097\/SLA.0b013e31828fac0b","volume":"259","author":"T Juul","year":"2014","unstructured":"Juul T, Ahlberg M, Biondo S et al (2014) International validation of the low anterior resection syndrome score. 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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}