Randomized comparison of straight and colonic J pouch anastomosis after low anterior resection
The authors compared clinical bowel function and complications of a low anterior resection with either a straight or colonic J pouch anastomosis. Urgency and frequent bowel movements after rectal resection with a low anastomosis have been related to the loss of rectal reservoir function. Reconstruct...
Saved in:
Published in | Annals of surgery Vol. 224; no. 1; pp. 58 - 65 |
---|---|
Main Authors | , , , , |
Format | Conference Proceeding Journal Article |
Language | English |
Published |
Hagerstown, MD
Lippincott
01.07.1996
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | The authors compared clinical bowel function and complications of a low anterior resection with either a straight or colonic J pouch anastomosis.
Urgency and frequent bowel movements after rectal resection with a low anastomosis have been related to the loss of rectal reservoir function. Reconstruction with a colonic J pouch possibly can obviate some of this dysfunction. Earlier reports have been favorable, but they must be verified in randomized trials.
One hundred patients with rectal cancer in whom a sphincter-saving procedure was appropriate were randomized to reconstruction with either a straight or a colonic J pouch anastomosis.
The incidence of symptomatic anastomotic leakage was lower in the pouch group (2% vs. 15%, p = 0.03). Eighty-nine patients could be evaluated after 1 year. The pouch patients had significantly fewer bowel movements per 24 hours, and less nocturnal evacuations, urgency, and incontinence. Overall well-being owing to the bowel function was rated significantly higher by the pouch patients.
Reconstruction with a colonic J pouch was associated with a lower incidence of anastomotic leakage and better clinical bowel function when compared with the traditional straight anastomosis. Functional superiority was especially evident during the first 2 months. |
---|---|
Bibliography: | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 ObjectType-News-3 content type line 23 |
ISSN: | 0003-4932 1528-1140 |
DOI: | 10.1097/00000658-199607000-00009 |