Effectiveness of nurse-led dietary modification recommendations in the management of defecation dysfunction among patients with rectal cancer after sphincter-saving surgery: a scoping review - Report - MDSpire

Effectiveness of nurse-led dietary modification recommendations in the management of defecation dysfunction among patients with rectal cancer after sphincter-saving surgery: a scoping review

  • By

  • Liu Wen

  • Qi Bi Rong

  • Cao Qiu jun

  • Wen Tao Tang

  • Xu Jian Min

  • Zhu Ai yong

  • June 11, 2026

  • 0 min

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Clinical Report: Efficacy of Dietary Modification Guidance by Nurses in Addressing Defecation Dysfunction

Overview

This scoping review evaluates the effectiveness of nurse-led dietary modifications for managing defecation dysfunction in rectal cancer patients post-sphincter-saving surgery.

Background

Defecation dysfunction is a common complication following sphincter-saving surgery for rectal cancer, impacting patients' quality of life. Dietary management is crucial for self-management of these symptoms.

Data Highlights

Study TypeIntervention ComponentsEffectiveness
Randomized Controlled Pilot StudiesDietary fiber management, diet diary, symptom-specific modifications, fiber supplementsEffectiveness varied among studies in improving defecation dysfunction
Population-based Pilot StudyComprehensive nurse-led interventionsIncluded dietary management

Key Findings

  • Five publications met the inclusion criteria for the review.
  • Two studies focused specifically on dietary modification programs.
  • Three studies included dietary management as part of broader nurse-led interventions.
  • Nurse-led dietary recommendations varied in components and effectiveness.

Clinical Implications

Nurses play a role in dietary management for rectal cancer patients post-surgery.

Conclusion

This review discusses the varying effectiveness of nurse-led dietary modifications in managing defecation dysfunction.

Related Resources & Content

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  6. Management guidelines for low anterior resection syndrome – the MANUEL project
  7. Optimal interventions for low anterior resection syndrome: Bayesian network meta-analysis of randomized controlled trials
  8. The efficacy of retrograde and antegrade enemas in the management of low anterior resection syndrome in patients undergoing rectal resection: a systematic review and meta-analysis | BMC Gastroenterology | Springer Nature Link
  9. SWOG S1820: A pilot randomized trial of the Altering Intake, Managing Bowel Symptoms Intervention in Survivors of Rectal Cancer - Sun - 2024 - Cancer - Wiley Online Library
  10. Effect of psyllium husk on low anterior resection syndrome after rectal cancer surgery—a pilot prospective cohort study
  11. Remote precise diet management intervention of defecation dysfunction among patients with rectal cancer after the sphincter-saving surgery: a study protocol for a randomized controlled trial | Trials | Full Text

Original Source(s)

Effectiveness of nurse-led dietary modification recommendations in the management of defecation dysfunction among patients with rectal cancer after sphincter-saving surgery: a scoping review

  • by Liu Wen, Qi Bi Rong, Cao Qiu jun, Wen Tao Tang, Xu Jian Min, Zhu Ai yong

  • June 11, 2026

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