title: [Use of antiperistaltic cecoproctostomy in colorectal reconstruction].
abstract: OBJECTIVE
  To explore the feasibility and functional outcome of antiperistaltic cecoproctostomy in colorectal reconstruction.
  
  
  METHODS
  Fifty-six patients who underwent antiperistaltic cecoproctostomy were retrospectively studied. Indications for antiperistaltic cecoproctostomy included slow transit constipation(n=44), synchronous colon cancer or colonic polyps(n=5), acute obstructing left colon carcinoma(n=4), and adult megacolon(n=3).
  
  
  RESULTS
  Short-term postoperative complications included wound infections(n=5), 3 lymphatic leakages(n=3), and inflammatory small bowel obstruction(n=1). One month after antiperistaltic cecoproctostomy, the median frequency of daily bowel movement was 4.0(range, 2-6). After a median follow-up of 4 years(range, 1 month to 7 years), the median daily bowel frequency was 2.5(range, 0.5-4.0). Five patients suffered from long-term postoperative complications including small bowel obstruction(n=3), incision hernia(n=1), and mild cecal dilatation(n=1). The mean Wexner incontinence score was 4.2±1.1.
  
  
  CONCLUSIONS
  Antiperistaltic cecoproctostomy is safe and effective for colorectal reconstruction.
authors.affiliation: Department of Colorectal Surgery, Zhongnan Hosipital of Wuhan University, Wuhan, China.
authors.forename: Cong-qing
authors.initials: CQ
authors.lastname: Jiang
authors.forename: Ming-fei
authors.initials: MF
authors.lastname: Wang
authors.forename: Qun
authors.initials: Q
authors.lastname: Qian
authors.forename: Yun-hua
authors.initials: YH
authors.lastname: Wu
authors.forename: Ke-yan
authors.initials: KY
authors.lastname: Zheng
authors.forename: Zhi-su
authors.initials: ZS
authors.lastname: Liu
authors.forename: Sheng-li
authors.initials: SL
authors.lastname: Tang
authors.forename: Zhao
authors.initials: Z
authors.lastname: Ding
authors.forename: Zhong-li
authors.initials: ZL
authors.lastname: Ai
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods*; D002432:Cecum / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012007:Rectum / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome