title: [After low anterior rectal resection, colonic pull-through with delayed colo-anal anastomosis can avoid the need for a diverting ileostomy].
abstract: A delayed colo-anal anastomosis has been proposed as a way to avoid diverting stoma after low anterior resection. Surgical and functional results were reviewed in 17 patients operated between 1999 and 2007 using this technique. Complications included one colonic necrosis, two pelvic abscesses and one colovaginal fistula. Results of continence and quality of life scores were satisfactory. Rates of parietal and septic complications are low after delayed colo-anal anastomosis and functional results are good. The use of this technique is particularly effective to avoid diverting ileostomy and for use in patients with a high risk of pouch fistula.
authors.affiliation: Service de chirurgie digestive, thoracique et cancérologique, CHU Bocage, 2, boulevard Maréchal-de-Lattre-de-Tassigny, 21000 Dijon, France. olivierfacy@yahoo.fr
authors.forename: O
authors.initials: O
authors.lastname: Facy
authors.forename: N
authors.initials: N
authors.lastname: Lagoutte
authors.forename: S
authors.initials: S
authors.lastname: Jambet
authors.forename: F
authors.initials: F
authors.lastname: Radais
authors.forename: J-P
authors.initials: JP
authors.lastname: Favre
authors.forename: P
authors.initials: P
authors.lastname: Rat
authors.forename: P
authors.initials: P
authors.lastname: Ortega Deballon
mesh_terms: D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical; D003106:Colon / Q000601:surgery*; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications; D012004:Rectal Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D012007:Rectum / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome