{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T21:50:43Z","timestamp":1791755443076,"version":"4.3.4"},"reference-count":51,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T00:00:00Z","timestamp":1623974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurogastroenterology Motil"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Most patients who have undergone low anterior resection suffer from bowel dysfunction postoperatively. This condition is referred to as low anterior resection syndrome (LARS). The aim was to study defecatory patterns in LARS patients compared to a primary control group of fecal incontinence (FI) patients and normal subjects (NS) with the Fecobionics device.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fecobionics expulsion parameters were assessed in an interventional study design. The Fecobionics probe contained pressure sensors at the front, rear, and inside the bag. The bag was distended until urge sensation in rectum in 11 LARS patients (5F\/6M, 63.2\u00a0\u00b1\u00a02.9\u00a0years), 11 FI subjects (7F\/4M, 64.4\u00a0\u00b1\u00a02.5\u00a0years), and 11\u00a0NS (7F\/4M, 63.6\u00a0\u00b1\u00a03.0\u00a0years). Defecation indices were computed from the Fecobionics data. All subjects had high\u2010resolution anorectal manometry (ARM) and balloon expulsion test (BET) done. Symptoms were evaluated with LARS and Wexner scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Results<\/jats:title><jats:p>The LARS score in the LARS patients was 39.0\u00a0\u00b1\u00a00.6. The Wexner score in the LARS, FI, and NS groups was 14.2\u00a0\u00b1\u00a00.7, 10.1\u00b11.0, and 0.0\u00a0\u00b1\u00a00.0 (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01). The resting anal pressure and squeeze pressure were lowest in LARS patients (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05). The urge volume was 11.8\u00a0\u00b1\u00a04.2, 59.6\u00a0\u00b1\u00a06.4, and 41.6\u00a0\u00b1\u00a06.4\u00a0ml in the LARS, FI, and NS groups, respectively (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). The expulsion duration did not differ between groups. Defecation indices were lowest in the LARS patients (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05). ARM\u2010BET confirmed the low urge volume in LARS patients whereas anal pressures did not differ between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions and Inferences<\/jats:title><jats:p>The LARS patients had low anal pressures and urge volume. Most Defecation Indices differed between the LARS group and the other groups.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nmo.14208","type":"journal-article","created":{"date-parts":[[2021,6,19]],"date-time":"2021-06-19T06:14:25Z","timestamp":1624083265000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Functional anorectal studies in patients with low\u00a0anterior resection syndrome"],"prefix":"10.1111","volume":"34","author":[{"given":"Ssu\u2010Chi","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Surgery the Chinese University of Hong Kong  Shatin Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaori","family":"Futaba","sequence":"additional","affiliation":[{"name":"Department of Surgery the Chinese University of Hong Kong  Shatin Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wing 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