| Autor: |
Hida, Jin-ichi, Yasutomi, Masayuki, Maruyama, Takamasa, Fujimoto, Kiyoshige, Nakajima, Akihiro, Uchida, Toshihiro, Wakano, Tsukasa, Tokoro, Tadao, Kubo, Ryuichi, Shindo, Katsuhisa |
| Zdroj: |
Diseases of the Colon & Rectum; May1998, Vol. 41 Issue 5, p558-563, 6p |
| Abstrakt: |
Functional outcome after anterior resection for rectal cancer is improved by colonic J-pouch reconstruction compared with straight anastomosis. The indications for colonic J-pouch reconstruction have yet to be determined. Therefore, we attempted to determine the level at which J-pouch reconstruction provides an advantage over straight anastomosis.A total of 48 patients who underwent 5-cm colonic J-pouch reconstruction (J-pouch group) and 80 patients who underwent straight anastomosis (straight group) underwent functional assessment one year postoperatively.The functional outcome in the J-pouch group was significantly better than that in the straight group when the distance of the anastomosis from the anal verge was less than 8 cm. The difference was particularly obvious when the level of the anastomosis was below 4 cm. However, functional outcome in the straight group when the anastomosis was between 9 and 12 cm from the anal verge was also satisfactory and did not differ from that in the J-pouch group when the anastomosis was between 5 and 8 cm from the anal verge.Colonic J-pouch reconstruction is indicated when the distance of anastomosis from the anal verge is less than 8 cm, and it is essential when the distance is less than 4 cm. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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