The Constipation Risk in Patients Undergoing Colorectal Cancer Surgery

Yıl 2023, Cilt: 11 Sayı: 1, 1159 - 1168, 17.03.2023

Hatice Yüceler Kaçmaz , İlker Yılmaz , Yeliz Sürme , Özlem Ceyhan , Hızır Yakup Akyıldız

https://doi.org/10.33715/inonusaglik.1164829

Öz

Colorectal cancer is one of the important health problems affecting all the world. The primary treatment method for colorectal cancer is surgery. Constipation, which is frequently experienced after surgical procedures, is an important problem that affects patients' quality of life, comfort, respiratory and circulatory systems, and postoperative recovery. This study was conducted to determine the preoperative constipation risks of patients will undergo colorectal cancer surgery. This cross-sectional study was conducted with 91 patients followed for colorectal cancer in a university hospital between March 2017 and 2018. Data were collected one day before colorectal surgery by applying an introductory information form and a constipation risk assessment scale to the patients. In the study, the mean constipation risk scale score of the patients was 11.52±3.40, and 42.4% had low, 29.3% moderate, and 28.3% high constipation risk. There is a statistically significant difference between chronic disease (p=0.027) and regular drug use (p=0.031) and risk of constipation. Patients were at moderate risk for the development of constipation after colorectal cancer surgery. It may be recommended to evaluate the patients in terms of the risk of developing constipation before colorectal cancer surgery and to intervene in these patients for constipation in the early postoperative period.

Anahtar Kelimeler

Colorectal surgery, Constipation, Risk management.

KOLOREKTAL KANSER CERRAHİSİ GEÇİRECEK HASTALARIN AMELİYAT ÖNCESİ KONSTİPASYON RİSKİ

Öz

Kolorektal kanser, tüm dünyayı etkileyen önemli sağlık sorunlarından biridir. Kolorektal kanserin öncelikli tedavi yöntemi cerrahidir. Cerrahi işlemler sonrası sıklıkla yaşanan konstipasyon, postoperatif dönemde hastaların yaşam kalitesini, konforunu, solunum ve dolaşım sistemlerini ve iyileşmeyi etkileyen önemli bir problemdir. Bu çalışma kolorektal kanser cerrahisi geçirecek olan hastaların ameliyat öncesi konstipasyon risklerini belirlemek amacıyla yapılmıştır. Bu kesitsel araştırma, Mart 2017-Mart 2018 tarihleri arasında bir üniversite hastanesinde kolorektal kanser nedeniyle takip edilen 91 hastayla yürütülmüştür. Veriler kolorektal cerrahiden bir gün önce hastalara tanıtıcı bilgi formu ve konstipasyon risk değerlendirme ölçeği uygulanarak toplanmıştır. Çalışmada hastaların konstipasyon risk ölçeği puan ortalaması 11.52±3.40 olup, %42.4’ü düşük, %29.3’ü orta, %28.3’ü yüksek konstipasyon riski taşımaktadır. Kronik hastalık (p=0.027) ve düzenli ilaç kullanımı (p=0.031) ile konstipasyon riski arasında istatistiksel olarak anlamlı farklılık bulunmaktadır. Kolorektal kanser cerrahisi sonrası hastalar konstipasyon gelişimi açısından orta derecede risk altındadır. Kolorektal kanser cerrahisi öncesi hastaların konstipasyon gelişme riski açısından değerlendirilmesi ve postoperatif erken dönemde bu hastalara kontipasyona ilişkin müdahale yapılması önerilebilir.

Anahtar Kelimeler

Kolorektal cerrahi, Konstipasyon, Risk yönetimi.

Kaynakça

• American Cancer Society. (2017). Colorectal Cancer Facts & Figures 2017-2019.
• Huang, L., Jiang, H., Zhu, M., Wang, B., Tong, M., Li, H., …Li, L. (2017). Prevalence anf risk factors of chronic constipation among women aged 50 years and older in Shanghai, China. Medical Science, 23, 2660–2667. 10.12659/MSM.904040
• Celik, S., Atar, N. Y., Ozturk, N., Mendes, G., Kuytak, F., Bakar, E., ...Ergin, S. (2015). Constipation risk in patients undergoing abdominal surgery. Iranian Red Crescent Medical Journal, 17(6), e23632. 10.5812/ircmj.23632
• Coggrave, M. ve Norton, C. (2013). Management of faecal incontinence and constipation in adults with central neurological diseases. Cochrane Database of Systematic Reviews, 18(12), CD002115. 10.1002/14651858.CD002115.pub3
• Davies, A., Leach, C., Caponero, R., Dickman, A., Fuchs, D., Paice, J. ve Emmanuel, A. (2020). MASCC recommendations on the management of constipation in patients with advanced cancer. Supportive Care in Cancer, 28(1), 23–33. 10.1007/s00520-019-05016-4
• Farahat, T., El-Esrigy, F. ve Salama, W. (2017). Risk factors for constipation among elderly attending family health center in Damietta District, Damietta Governorate, Egypt. Menoufia Medical Journal, 32, 145–150. 10.4103/mmj.mmj_388_17
• Forootan, M., Bagheri, N. ve Darvishi, M. (2018). Chronic constipation: A review of literature. Medicine (United States), 97, 20–29. 10.1097/MD.0000000000010631
• Gupta, V. K., Paul, S. ve Dutta, C. (2017). Geography, ethnicity or subsistence-specific variations in human microbiome composition and diversity. Frontiers in Microbiology, 8, 1-16. 10.3389/fmicb.2017.01162
• Holtedahl, K., Borgquist, L., Donker, G. A., Buntinx, F., Weller, D., Campbell, C., Månsson, J., Hammersley, V., Braaten, T. ve Parajuli, R. (2021). Symptoms and signs of colorectal cancer, with differences between proximal and distal colon cancer: A prospective cohort study of diagnostic accuracy in primary care. BMC Family Practice, 22(1), 1–13. 10.1186/s12875-021-01452-6
• Karadağ Arlı, Ş. (2019). Evaluation of constipation risk among ınpatients in surgery and internal medicine wards. Turkish Journal of Colorectal Disease, 29(1), 19–24. 10.4274/tjcd.galenos.2018.01488
• Kaya, H. ve Kaya, N. (2013). Identifying constipation risk in neurosurgery patients. Określenie ryzyka zaparcia u chorych z dolegliwościami neurochirurgicznymi, 2(3), 96-103
• Kılıç, S. ve Tunç, N. (2020). Konstipasyon. Güncel Gastroenteroloji, 24(2), 53–62.
• Kutlu Koca, A., Yilmaz, E., Çeçen, D. ve Eser, E. (2011). The reliability and validity of the Turkish version of the constipation risk assessment scale. Gastroenterology Nursing, 34(3), 200–208. 10.1097/SGA.0b013e31821ab553
• Lee, T. H., Choi, S. C., Park, M. I., Park, K. S., Shin, J. E., Kim, S. E., Jung, K. W., Koo, H. S., Kim, W. J., Cho, Y. K., Kim, Y. S. ve Lee, J. S. (2014). Constipation misperception is associated with gender, marital status, treatment utilization and constipation symptoms experienced. Journal of Neurogastroenterology and Motility, 20(3), 379–387. 10.5056/jnm14011
• Moschen, A. R., Sammy, Y., Marjenberg, Z., Heptinstall, A. B., Pooley, N. ve Marczewska, A. M. (2022). The underestimated and overlooked burden of diarrhea and constipation in cancer patients. Current Oncology Reports, 24(7), 861–874. 10.1007/s11912-022-01267-3
• Noiesen, E., Trosborg, I., Bager, L., Herning, M., Lyngby, C. ve Konradsen, H. (2014). Constipation - prevalence and incidence among medical patients acutely admitted to hospital with a medical condition. Journal of Clinical Nursing, 23, 2295–2302. 10.1111/jocn.12511
• Paquette, I. M., Varma, M., Ternent, C., Melton-Meaux, G., Rafferty, J. F., Feingold, D. ve Steele, S. R. (2016). The american society of colon and rectal surgeons’ clinical practice guideline for the evaluation and management of constipation. Diseases of the Colon and Rectum, 59(6), 479–492. 10.1097/DCR.0000000000000599
• Richmond, J. P. ve Wright, M. E. (2006). Development of a constipation risk assessment scale. Journal of Orthopaedic Nursing, 10(4), 186–197. 10.1016/j.joon.2006.08.001
• Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A. ve Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. A Cancer Journal for Clinicians, 71(3), 209–249. 10.3322/caac.21660
• Tilg, H., Adolph, T. E., Gerner, R. R. ve Moschen, A. R. (2018). The intestinal microbiota in colorectal cancer. Cancer Cell, 33(6), 954–964. 10.1016/j.ccell.2018.03.004
• Trakman, G., Fehily, S., Basnayake, C., Hamilton, A., Russel, E., Wilson-O’Brien, A. ve Kamm, M. (2022). Diet and gut microbiome in gastrointestinal disease. Gastroenterology and Hepatology, 37, 237–245.
• Ucuzal, M. ve Aldanmaz, N. (2015). Genel cerrahi hastalarında ameliyat sonrası konstipasyon Riski. İnönü Üniversitesi Sağlık Bilimleri Dergisi, 4(2), 17–22.
• Van Tiggelen, H. Van, Alves, P., Ayello, E., Bååth, C., Baranoski, S., Campbell, K., Dunk, A. M., Gloeckner, M., Hevia, H., Holloway, S., Idensohn, P., Karadağ, A., Langemo, D., LeBlanc, K., Ousey, K., Pokorná, A., Romanelli, M., Santos, V. L. C. de G., Smet, S., … Beeckman, D. (2021). Development and psychometric property testing of a skin tear knowledge assessment instrument (OASES) in 37 countries. Journal of Advanced Nursing, 77(3), 1609–1623. 10.1111/JAN.14713
• Verkuijl, S. J., Meinds, R. J., Trzpis, M. ve Broens, P. M. A. (2020). The influence of demographic characteristics on constipation symptoms: A detailed overview. BMC Gastroenterology, 20(1), 1–9. 10.1186/s12876-020-01306-y
• Walke, M. ve Sakharkar, S. (2021). Study on Assessment of risk factors of constipation among patients undergoing abdominal surgery. Journal of Pharmaceutical Research International, 33, 335–341. 10.9734/jpri/2021/v33i42a32412
• Werth, B. L., Williams, K. A., Fisher, M. J. ve Pont, L. G. (2019). Defining constipation to estimate its prevalence in the community: Results from a national survey. BMC Gastroenterology, 19(1), 75. 10.1186/s12876-019-0994-0
• Włodarczyk, J., Waśniewska, A., Fichna, J., Dziki, A., Dziki, Ł. ve Włodarczyk, M. (2021). Current overview on clinical management of chronic constipation. Journal of Clinical Medicine, 10(8). 10.3390/jcm10081738
• Yurtdaş, G., Acar Tek, N., Akbulut, G., Cemali, Ö., Arslan, N., Beyaz Coşkun, A. ve Zengin, F. H. (2020). Risk Factors for Constipation in Adults: A Cross-Sectional Study. Journal of the American College of Nutrition, 39(8): 713–719. 10.1080/07315724.2020.1727380 Steril, 96(6), 1283-1287.