Four different ileorectal anastomotic configurations following total colectomy

• Published in: ANZ journal of surgery Vol. 90; no. 9; pp. 1588 - 1591
• Main Authors: Jolly, Samantha, Dudi‐Venkata, Nagendra N., Hanna‐Rivero, Nicole, Kroon, Hidde M., Reid, Fiona S. W., Sammour, Tarik
• Format: Journal Article
• Language: English
• Published: Melbourne John Wiley & Sons Australia, Ltd 01.09.2020; Blackwell Publishing Ltd
• Subjects: Anastomosis; Anastomosis, Surgical; Colectomy; Colorectal surgery; Configurations; Humans; ileum; Ileum - surgery; rectum; Rectum - surgery; sigmoid colon; Surgical outcomes; Surgical techniques; ileum; colectomy; colorectal surgery; rectum; anastomosis; sigmoid colon
• ISSN: 1445-1433; 1445-2197
• DOI: 10.1111/ans.15764

Ileorectal and ileosigmoid anastomoses are typically performed following total colectomy and subtotal colectomy, respectively. The current literature provides extensive description of more common anastomoses such as after right hemicolectomy or anterior resection. However, there is little focus in the literature on the ileorectal or ileosigmoid anastomotic technique, despite these anastomoses having a relatively high complication rate. The purpose of the current study is to describe four standardized ileorectal or ileosigmoid anastomotic configurations, with commentary on specific challenges and theoretical advantages and disadvantages of each. Ileorectal and ileosigmoid anastomoses are typically performed following total colectomy and subtotal colectomy, respectively. There is little focus in the literature on ileorectal and ileosigmoid anastomotic technique, despite these anastomoses having a relatively high complication rate. The purpose of the current study is to describe four standardized ileorectal or ileosigmoid anastomotic configurations, with commentary on specific challenges and theoretical advantages and disadvantages of each.