Sphincter-preserving surgery has spared a lot of rectal cancer patients a stoma, but handed many of them a different problem they're rarely warned about. Low anterior resection syndrome (LARS) affects a large share of post-operative patients, and most of the work to fix it doesn't happen in the operating theatre.

Harald Rosen brings together Andreas Rink, Peter Christensen, and Franco Marinello. Three surgeons who manage LARS daily, for a candid roundtable on what's working, what isn't, and where European practice still diverges.

Among the takeaways: when diarrhoea-dominant LARS needs the gastroenterologist before any other treatment will stick; why transanal irrigation is the workhorse, but patients drop out; and the unsolved questions around phenotyping LARS and timing neuromodulation.

The full course, with case discussions and the treatment pyramid, is free on gutflix.eu.