Quality of life following reversal of temporary stoma after rectal cancer treatment

Abstract 

Purpose

An examination of quality of life outcomes following reversal of a temporary stoma after rectal cancer treatment.

Method

An extensive search of the literature was conducted. Studies selected examine the consequences of stoma reversal on individual’s lives. Methodological issues and implications for nursing practice are also considered.

Results

It is clear that after stoma reversal, there is often a temporary alteration in bowel function, impacting on individuals’ physical, social and psychological health for several months. There is possibility of permanent difficulties for some, significantly affecting their quality of life if left untreated. These effects can lead to more negative post-operative experiences than expected.

Conclusion

This review prompts discussion about how to provide appropriate support for patients following stoma reversal but also optimal pre-operative preparation, to foster realistic expectations and subsequent adaptation. It is suggested that nursing support should be targeted to the first few months post-reversal when bowel symptoms tend to be most troublesome.

Keywords: Stoma, Ileostomy, Reversal, Rectal cancer, Bowel function, Bowel symptoms, Quality of life