Reconstruction Techniques after Proctectomy: What's the Best?

Fuente, Sebastián G. de la; Mantyh, Christopher R.

doi:10.1055/s-2007-984866

Cited by 12 publications

(2 citation statements)

References 64 publications

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“…16 In the long term, patients may develop complications such as stricture, incontinence, stenosis, and pouchitis. 17,18 Stenosis can occur in up to 30% of colorectal anastomoses using either using staples or handsewing. 1 In terms of anastomotic leakage, De Cuba et al.…”

Section: Discussionmentioning

confidence: 99%

Safety of coloanal/ileoanal anastomosis during cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for peritoneal carcinomatosis: results of 20 consecutive patients

Düzgün

Kalın

2019

J Int Med Res

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Objective No studies to date have focused on the safety of coloanal/ileoanal anastomosis (CAIAA) in cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS + HIPEC), which is associated with severe morbidity and mortality. We herein present the outcomes of patients with peritoneal carcinomatosis (PC) who underwent CAIAA. Methods We evaluated the prospectively collected data from 20 patients with PC who underwent CRS + HIPEC with respect to the primary disease, synchronous resections, intraoperative chemotherapy regimen, timing of protective ileostomy closure, and overall postoperative complications. Results Most patients underwent CRS + HIPEC and CAIAA for PC due to colorectal cancer. Coloanal anastomosis was performed in 15 (75%) patients, and J-pouch ileoanal anastomosis was performed in 5 (25%) patients. No anastomosis-related complications occurred in any patients who underwent CAIAA; however, one patient died of pulmonary embolism on postoperative day 7. Conclusions CAIAA is associated with serious complications even after performing benign colorectal surgery. However, it may be challenging for surgeons to simultaneously perform CAIAA in patients with PC who undergo CRS + HIPEC. We emphasize that this procedure can be safely performed with experienced surgical teams by using a multidisciplinary approach.

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Section: Discussionmentioning

confidence: 99%

Safety of coloanal/ileoanal anastomosis during cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for peritoneal carcinomatosis: results of 20 consecutive patients

Düzgün

Kalın

2019

J Int Med Res

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“…Moreover, straight coloanal anastomosis in humans has been historically associated with relatively poor postoperative bowel function because of loss of the rectal reservoir. (de la Fuente and Mantyh, 2007). Another limitation of the coloanal reconstruction technique is that it is depending on the length of formed colon.…”

Section: Discussionmentioning

confidence: 99%

Comparison between Colostomy and Coloanal Reconstruction Technique for Colonic Atresia in Calves

Atiba¹,

Farrag²

2016

AJVS

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The aim of this study was to evaluate and compare the outcome of right flank colostomy technique and coloanal reconstruction technique in treating atresia coli in calves. All newly born calves (n= 39) with lack of feces were admitted to the Department of Surgery, Anesthesiology and Radiology, Kafrelsheikh University, between May 2011 and November 2015. After clinical and radiographic examinations, calves with atresia coli were subjected to either right flank colostomy or coloanal reconstruction technique, and outcome results after surgery were recorded. Of 39 calves with intestinal atresia, 16 male calves were confirmed atresia coli and treated surgically. Right flank colostomy was performed in 7 calves, two calves died within 24 hours after surgery. Two calves died after short period of surgery due to peritonitis and one was slaughtered after 1 month due to recurrent colonic prolapse. Two calves reached 2 months old with weight less than 60 kg. Coloanal reconstruction was performed in 9 calves; one calf died within 24 hours after surgery. Three calves died after short period of surgery due to peritonitis. One calf observed coloanal prolapse and treated with purse string suture. One calf was slaughtered at 50 days after recurrent diarrhea. Three cases reached 2-3 months old with weight up to 80 kg. The results of the current study suggested that the coloanal reconstruction technique seemingly has a beneficial effect on long-term for treatment of atresia coli in calves than right flank colostomy technique.

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Nutritional Support After Surgery of the Colon

Pucciani

D’Eugenio²

2019

Nutritional Support After Gastrointestinal Surgery

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Reconstruction Techniques after Proctectomy: What's the Best?

Cited by 12 publications

References 64 publications

Safety of coloanal/ileoanal anastomosis during cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for peritoneal carcinomatosis: results of 20 consecutive patients

Safety of coloanal/ileoanal anastomosis during cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for peritoneal carcinomatosis: results of 20 consecutive patients

Comparison between Colostomy and Coloanal Reconstruction Technique for Colonic Atresia in Calves

Nutritional Support After Surgery of the Colon

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