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Health care professionals should assess other post‐operative symptoms, including altered stool consistency, variable or unpredictable bowel function, emptying difficulties, involuntary loss of faeces or gas and/or urgency |
Low level of evidence; upgraded by the GDG (see evidence to decision framework in Supporting Information
S2
: Appendix 2)
|
|
Health care professionals should assess postoperative pain, including the frequency, duration and intensity of pain after oncological resections. The impact of pain, including the impact on sleep and daily activities should also be considered. |
Low level of evidence; upgraded by the GDG (see evidence to decision framework in Supporting Information
S2
: Appendix 2)
|
|
Physical examination should be performed in patients, including an abdominal examination and (digital) anorectal examination |
Good Practice Statement, ungraded
|
|
A colonoscopy could be used to rule out anatomical causes (i.e. anastomotic stenosis, local recurrence) |
Very low level of evidence; upgraded by the GDG (see evidence to decision framework in Supporting Information
S2
: Appendix 2)
|
|
Anorectal manometry alone should not be used as a diagnostic modality in patients. |
Very low level of evidence
|
|
Health care professionals should use a validated questionnaire in order to evaluate gastrointestinal symptoms. Questionnaires to consider are: Vaizey, Wexner, FIQL, EORTC QLQ C30, EORTC QLQ CR29, LARS score or chronic pain score. Even with very low level of evidence, expert opinion encourages use of validated questionnaires |
Very low level of evidence
|