Long-term prospective assessment of functional results after proctectomy with coloanal anastomosis

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
A Fichera, F Michelassi

Abstract

The objective of this study was to prospectively assess the long-term functional results after restorative proctectomy with coloanal anastomosis for rectal cancer. Thirty consecutive patients (18 males; mean age 59.6 +/- 9.8 years, range 40 to 75 years) underwent proctectomy with coloanal anastomosis for rectal cancer between January 1990 and March 1997. Cancers were located between 5 and 12 cm from the anal verge. Differences existed in the administration of adjuvant therapy and in the kind of anastomotic reconstruction. An 8 cm colonic J-pouch was fashioned in 11 patients. The coloanal anastomosis was protected by a diverting loop ileostomy in 22 patients. All patients were evaluated using a prospective patient-completed protocol to record daily bowel activity over a 1-week period at 3, 6, and 12 months, and yearly thereafter. Mean follow-up extends to 55.5 +/- 27 months (range 7 to 117 months). There were no perioperative deaths. Four patients (13.3%) developed a clinically evident anastomotic dehiscence. Overall, stool frequency decreased from 4.4 +/- 2.5 bowel movements per day at 3 months to 3.0 +/- 2.8 bowel movements per day at 5 years. Patients with a J-pouch had a lower stool frequency in comparison to patients with a...Continue Reading

Citations

Oct 26, 2012·Annals of Surgery·Sophie PitelYann Parc
May 15, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·T KimS D Wexner
May 15, 2007·ANZ Journal of Surgery·Sun-Il LeeYoon-Ah Park
Jun 20, 2007·International Journal of Colorectal Disease·Amosy E M'KomaAlan J Herline
May 20, 2009·International Journal of Colorectal Disease·S M P KochC G M I Baeten
May 26, 2007·Diseases of the Colon and Rectum·Jung Wook HuhSeung Kook Sohn
Feb 19, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Brigitte HolzerRudolf Schiessel
Jun 22, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·H RosenB Roche
May 9, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M ZutshiJ Hammel
Jan 27, 2006·International Journal of Colorectal Disease·Amosy Ephreim M'Koma
Dec 21, 2006·The American Journal of Gastroenterology·James Izanec, Deborah Nagle
Jan 5, 2021·Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico·P BarriosM Martín-Baranera

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