Long-term functional outcome of colonic J-pouch reconstruction after low anterior resection for rectal cancer.

Surgery Today
J HidaHitoshi Shiozaki

Abstract

To evaluate the long-term functional outcome of colonic J-pouch reconstruction after low anterior resection (LAR) for rectal cancer in a prospective study. We compared the functional outcome of 46 patients who underwent J-pouch reconstruction (J-group) and 49 patients who underwent straight anastomosis (S-group) after LAR for rectal cancer. We evaluated clinical function using a 17-item questionnaire about different aspects of bowel function. Physiologic reservoir function was evaluated by manovolumetry. Among the patients with an ultralow anastomosis (<or=4 cm from the anal verge), those in the J-group had fewer bowel movements during the day and at night, and less urgency, soiling, protective pad use, incontinence, and dissatisfaction with bowel function than those in the S-group. Among the patients with a low anastomosis (5-8 cm from the verge), those in the J-group had fewer bowel movements at night, and less urgency and soiling than those in the S-group. Moreover, reservoir function (reflected by the maximum tolerable volume, threshold volume, and compliance) was better in the J-group than in the S-group in both the ultralow and low anastomosis groups. J-pouch reconstruction after low anterior resection creates a better st...Continue Reading

References

Sep 1, 1992·Diseases of the Colon and Rectum·E P PélissierJ F Bosset
Dec 1, 1991·The British Journal of Surgery·M KusunokiJ Utsunomiya
Mar 14, 1991·The New England Journal of Medicine·J E KrookJ A Mailliard
Apr 1, 1991·Diseases of the Colon and Rectum·G BatignaniF Tonelli
Mar 1, 1990·The British Journal of Surgery·T OreslandL Hultén
Apr 1, 1988·The British Journal of Surgery·R J NichollsD R Donaldson
Aug 1, 1986·Annals of Surgery·I K PedersenP E Mortensen
Feb 1, 1986·The British Journal of Surgery·R ParcJ Loygue
Oct 1, 1982·The British Journal of Surgery·R J HealdR D Ryall
Sep 1, 1980·The British Journal of Surgery·H SuzukiM Honzumi
May 1, 1995·The British Journal of Surgery·N J MortensenM M Humphreys
Apr 1, 1995·Diseases of the Colon and Rectum·H OrtizC Chocarro
Apr 1, 1995·Diseases of the Colon and Rectum·F GuillemotA Cortot
Feb 20, 1993·Lancet·J K MacFarlaneR J Heald
Mar 1, 1996·The British Journal of Surgery·G ArbmanR Sjödahl
Nov 1, 1996·Diseases of the Colon and Rectum·J M RamirezM M Smilgin Humphreys
Aug 1, 1997·Journal of the American College of Surgeons·S BenoistP Valleur
Apr 14, 1999·The British Journal of Surgery·M DahlbergL Påhlman
Oct 3, 1999·The British Journal of Surgery·A BarrierM Malafosse
Sep 8, 2001·The New England Journal of Medicine·E KapiteijnUNKNOWN Dutch Colorectal Cancer Group
Nov 17, 2001·Diseases of the Colon and Rectum·P GervazB Belin
Dec 12, 2001·The British Journal of Surgery·W L Law, K W Chu
Dec 12, 2001·The British Journal of Surgery·G J HarrisV W Fazio
Aug 17, 2002·The European Journal of Surgery = Acta Chirurgica·Jaana H VironenIlmo H Kellokumpu
Aug 9, 2003·The British Journal of Surgery·S BülowUNKNOWN RANX05 Colorectal Cancer Study Group

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Citations

Jul 25, 2008·Langenbeck's Archives of Surgery·Andreas D RinkKarl-Heinz Vestweber
Mar 27, 2010·Surgery Today·Jin-ichi Hida, Kiyotaka Okuno
May 24, 2007·Digestive Diseases and Sciences·Susanne OttoMartin Kruschewski
Nov 26, 2013·Surgical Oncology Clinics of North America·Daniel Fish, Larissa K Temple
Aug 14, 2013·The British Journal of Surgery·K J EmmertsenUNKNOWN Rectal Cancer Function Study Group

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