Low anterior resection syndrome (LARS): what stoma care nurses need to know

Abstract

Nurses involved in the care of people having a low anterior resection for rectal cancer need to recognise the potential consequences of cancer treatment. Treatment for rectal cancers can lead to several different consequences, including bowel dysfunction. Bowel changes are collectively termed low anterior resection syndrome (LARS). The nurse can assist in the care of patients with LARS by recognising what LARS is and how it might affect patients. Providing information about LARS can enable patients the opportunity to set realistic expectations of bowel function after stoma reversal. Nursing advice can include basic information on bowel-management strategies, such as dietary manipulation and the use of loperamide. If these initial management strategies are ineffective, there are other interventions that will require onward referral, such as to a biofeedback nurse. Improving bowel symptoms can improve quality of life for patients after rectal cancer treatment.