Association of Adhesive Small Bowel Obstruction with Postoperative Health-related Quality of Life after Colorectal Cancer Surgery.
- 1Division of Gastroenterological, Hepato-Biliary-Pancreatic, Transplantation and Pediatric Surgery, Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
Abstract
Adhesive small bowel obstruction (ASBO) is a common complication after colorectal cancer (CRC) surgery. However, its association with health-related quality of life (HRQOL) in postoperative patients remains unclear. This study aimed to evaluate the association between a history of ASBO and HRQOL after CRC surgery. We conducted a retrospective cross-sectional study of patients who underwent CRC surgery at Shinshu University Hospital. HRQOL was assessed using a modified 32-item questionnaire comprising four domains. A total of 126 patients were included (ASBO group, n = 25; control group, n = 101). The primary outcome was the daily life domain score. Multivariable linear regression analyses were performed to examine associations of ASBO with HRQOL. Patients in the ASBO group had a higher proportion of poor performance status (p = 0.011) and were more likely to have a history of stoma (p < 0.001). They showed higher scores in the daily life (3.0 vs. 0, p < 0.001), pain (1.0 vs. 0, p = 0.009), and gastrointestinal (GI) symptoms (2.0 vs. 1.0, p = 0.030) domains than those in the control group. Using multivariable linear regression analyses, a history of ASBO was independently associated with higher scores in the daily life (B = 3.656, p = 0.005), pain (B = 2.226, p = 0.007), and GI symptoms (B = 2.699, p = 0.001) domains. A history of ASBO was associated with poorer HRQOL after CRC surgery. Further studies are warranted to clarify these associations and validate the questionnaire.
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BibTeX
@article{fu2026association,
title = {{Association of Adhesive Small Bowel Obstruction with Postoperative Health-related Quality of Life after Colorectal Cancer Surgery.}},
author = {Jingxiao Fu and Yuta Yamamoto and Masato Kitazawa and Satoshi Nakamura and Satoru Miyazaki and Nao Hondo and Masahiro Kataoka and Hirokazu Tanaka and Tadaaki Shimizu and Naoki Ishizaka and Naoya Yamamoto and Yuji Soejima},
journal = {Journal of the anus, rectum and colon},
year = {2026},
month = oct,
doi = {10.23922/jarc.2026-036},
url = {https://europepmc.org/article/MED/42952896},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Association of Adhesive Small Bowel Obstruction with Postoperative Health-related Quality of Life after Colorectal Cancer Surgery.
AU - Jingxiao Fu
AU - Yuta Yamamoto
AU - Masato Kitazawa
AU - Satoshi Nakamura
AU - Satoru Miyazaki
AU - Nao Hondo
AU - Masahiro Kataoka
AU - Hirokazu Tanaka
AU - Tadaaki Shimizu
AU - Naoki Ishizaka
AU - Naoya Yamamoto
AU - Yuji Soejima
PY - 2026
DA - 2026/10/25
JO - Journal of the anus, rectum and colon
DO - 10.23922/jarc.2026-036
UR - https://europepmc.org/article/MED/42952896
AB - Adhesive small bowel obstruction (ASBO) is a common complication after colorectal cancer (CRC) surgery. However, its association with health-related quality of life (HRQOL) in postoperative patients remains unclear. This study aimed to evaluate the association between a history of ASBO and HRQOL after CRC surgery. We conducted a retrospective cross-sectional study of patients who underwent CRC surgery at Shinshu University Hospital. HRQOL was assessed using a modified 32-item questionnaire comprising four domains. A total of 126 patients were included (ASBO group, n = 25; control group, n = 101). The primary outcome was the daily life domain score. Multivariable linear regression analyses were performed to examine associations of ASBO with HRQOL. Patients in the ASBO group had a higher proportion of poor performance status (p = 0.011) and were more likely to have a history of stoma (p < 0.001). They showed higher scores in the daily life (3.0 vs. 0, p < 0.001), pain (1.0 vs. 0, p = 0.009), and gastrointestinal (GI) symptoms (2.0 vs. 1.0, p = 0.030) domains than those in the control group. Using multivariable linear regression analyses, a history of ASBO was independently associated with higher scores in the daily life (B = 3.656, p = 0.005), pain (B = 2.226, p = 0.007), and GI symptoms (B = 2.699, p = 0.001) domains. A history of ASBO was associated with poorer HRQOL after CRC surgery. Further studies are warranted to clarify these associations and validate the questionnaire.
SN - 2432-3853
ER -