title: Excision of the rectum with colonic J pouch-anal anastomosis for adenocarcinoma of the low and mid rectum.
abstract: The results of rectal excision with colonic pouch-anal anastomosis are reviewed from a series of 162 patients covering 7 years. All patients have been operated upon in the same institution and consecutively. The follow-up is now sufficient to allow an accurate evaluation of the outcome of the patients. The main goal of this study was to provide a detailed report of the functional results. Continence was satisfactory in 96% of the patients, with either a perfect continence or minor troubles that would not have been detectable other than by a rigorous questioning. The mean number of bowel movements was 2 per 24 hours. Fragmentation of the defecation and urgency were absent. Twenty-five per cent of the patients had to elicit the evacuation of the reservoir with a suppository or an enema. Improvement of function yielded by a reservoir over straight colo-anal and low colo-rectal anastomoses are significant and, as suggested by manometric studies, are directly related to the restoration of a reservoir function.
authors.affiliation: Department of Digestive Surgery, Hopital Saint Antoine, Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Berger
authors.forename: E
authors.initials: E
authors.lastname: Tiret
authors.forename: R
authors.initials: R
authors.lastname: Parc
authors.forename: P
authors.initials: P
authors.lastname: Frileux
authors.forename: L
authors.initials: L
authors.lastname: Hannoun
authors.forename: B
authors.initials: B
authors.lastname: Nordlinger
authors.forename: R
authors.initials: R
authors.lastname: Ratelle
authors.forename: R
authors.initials: R
authors.lastname: Simon
mesh_terms: D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical; D003106:Colon / Q000601:surgery*; D003672:Defecation; D005242:Fecal Incontinence / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D016737:Proctocolectomy, Restorative; D012004:Rectal Neoplasms / Q000601:surgery*