About this trial

The goal of this observational study is to learn why some patients develop low anterior resection syndrome (LARS) after colorectal cancer treatment. The study also aims to identify different subtypes of LARS and understand which patients may respond to specific treatments.

The main questions it aims to answer are:

* What physiological and imaging changes are associated with LARS? * How do patients with LARS differ from patients without LARS after colorectal cancer surgery? * Are there measurable differences between LARS, patients treated with organ-preserving chemoradiotherapy, and patients with fecal incontinence?

Participants will:

* Complete advanced physiological and imaging assessments related to bowel function * Be compared with four control groups:

* patients without LARS after colorectal cancer surgery * patients treated with organ-preserving chemoradiotherapy * patients with fecal incontinence and urge fecal incontinence * Take part in a single study visit where all measurements are performed

Eligibility criteria

Qualifiers

Must be able to read and understand Danish.

All participants must be adults and >18 years and have full legal capacity.

Assessed by study personnel to have understood the research protocol, being able to comply with investigation procedures as well as ability to come to the hospital at the agreed timepoints, and to complete the trial.

Patients operated for rectal cancer with a rectal resection and sphincter preserving surgery at a minimum of three months postop.

Disqualifiers

Persons that are not able to understand information

Connective tissue disorders

Parkinson's disease

Non-MRI compatible pacemaker, clips or other metal objects in the body. Patients implanted with a pacemaker for sacral nerve modulation will not undergo MRI postoperatively.

Trial design

Treatments tested in this trial

  • Not listed

Trial groups

145 Participants
are grouped into 5 trial groups

Locations

3
Aalborg University Hospital9220, Aalborg Denmark
Aarhus University Hospital8200, Aarhus Denmark
Vejle Hospital7100, Vejle Denmark

Sponsors and collaborators

Aalborg University Hospital

Lead sponsor

Aarhus University Hospital

Collaborator

Danish Cancer Society

Collaborator

Vejle Hospital

Collaborator