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  • 1
    Electronic Resource
    Electronic Resource
    Functional results of colonic J-pouch anastomosis for rectal cancer (1999)
    Springer
    Surgery today 29 (1999), S. 597-600 
    Details
    ISSN: 1436-2813
    Keywords: colonic J-pouch ; low anterior resection ; rectal cancer
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The purpose of this study was to clarify the functional outcomes of colonic J-pouch anastomosis (J-LAR) for lower rectal cancer in comparison with those of traditional straight anastomosis (S-LAR). A questionnaire regarding anorectal function was conducted 1 year after operation on patients who underwent J-LAR (n=15) and S-LAR (n=30). The clinical functions were assessed by an incontinence scoring system. The physiologic function was assessed by anorectal manometry and the balloon expulsion test. No patients demonstrated a diverting stoma. The bowel frequency (range) 1 year after operation was 4.8 (3–6) in the S-LAR group and significantly decreased to 1.8 (1–3) in the J-LAR group (P〈0.05). Complete evacuation was 50.2% (40%–60%) in the S-LAR group and significantly increased to 80.6% (60%–90%) in the J-LAR group (P〈0.05). Neorectal compliance was 2.2 (1.4–2.9) ml/mmHg in the S-LAR group and significantly increased to 3.1 (1.3–3.5) ml/mmHg in the J-LAR group (P〈0.01). No significant difference was observed between the two groups regarding the maximum resting or maximum voluntary squeezing pressure. In conclusion, our findings suggested colonic pouch anastomosis performed after a low anterior resection to support the compliance of the (neo)rectum to be an important factor for retaining a satisfactory bowel frequency.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02482983
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 2
    Electronic Resource
    Electronic Resource
    Transsacral Rectopexy for Recurrent Complete Rectal Prolapse (1999)
    Springer
    Surgery today 29 (1999), S. 970-972 
    Details
    ISSN: 1436-2813
    Keywords: Key Words: rectal prolapse ; transsacral rectopexy ; recurrence
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: P 〈 0.05), and the perineal descent (PD) improved from a preoperative value of 16.2 ± 2.5 cm to a postoperative value of 8.1 ± 1.3 cm (P 〈 0.05). The maximal resting pressure (MRP) increased from a preoperative value of 20.5 ± 3.7 cmH2O to a postoperative value of 40.5 ± 4.8 cmH2O (P 〈 0.05). These findings indicate that transsacral rectopexy with Dexon mesh can achieve good control of recurrent complete rectal prolapse.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s005950050552
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Transsacral rectopexy for recurrent complete rectal prolapse (1999)
    Springer
    Surgery today 29 (1999), S. 970-972 
    Details
    ISSN: 1436-2813
    Keywords: rectal prolapse ; transsacral rectopexy ; recurrence
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of this study was to examine the functional outcome of transsacral rectopexy performed with Dexon mesh for recurrent complete rectal prolapse. Anorectal function was assessed by anorectal manometry and defecography, before and from 1 year after surgery in five patients who were followed up for 1–3 years. The fecal incontinence score recovered from a preoperative mean score of 3.8 to a postoperative mean score of 1.2, and constipation was improved in four patients (80%). The straining anorectal angle (S-ARA), measured by defecography, improved from a preoperative value of 120.6°±6.9° to a postoperative value of 98.5°±3.5° (P〈0.05), and the perineal descent (PD) improved from a preoperative value of 16.2±2.5 cm to a postoperative value of 8.1±1.3 cm (P〈0.05). The maximal resting pressure (MRP) increased from a preoperative value of 20.5±3.7 cmH2O to a postoperative value of 40.5±4.8 cmH2O (P〈0.05). These findings indicate that transsacral rectopexy with Dexon mesh can achieve good control of recurrent complete rectal prolapse.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02482800
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
  • 4
    Electronic Resource
    Electronic Resource
    Functional Results of Colonic J-Pouch Anastomosis for Rectal Cancer (1999)
    Springer
    Surgery today 29 (1999), S. 597-600 
    Details
    ISSN: 1436-2813
    Keywords: Key Words: colonic J-pouch ; low anterior resection ; rectal cancer
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: n = 15) and S-LAR (n = 30). The clinical functions were assessed by an incontinence scoring system. The physiologic function was assessed by anorectal manometry and the balloon expulsion test. No patients demonstrated a diverting stoma. The bowel frequency (range) 1 year after operation was 4.8 (3–6) in the S-LAR group and significantly decreased to 1.8 (1–3) in the J-LAR group (P 〈 0.05). Complete evacuation was 50.2% (40%–60%) in the S-LAR group and significantly increased to 80.6% (60%–90%) in the J-LAR group (P 〈 0.05). Neorectal compliance was 2.2 (1.4–2.9) ml/mmHg in the S-LAR group and significantly increased to 3.1 (1.3–3.5) ml/mmHg in the J-LAR group (P 〈 0.01). No significant difference was observed between the two groups regarding the maximum resting or maximum voluntary squeezing pressure. In conclusion, our findings suggested colonic pouch anastomosis performed after a low anterior resection to support the compliance of the (neo)rectum to be an important factor for retaining a satisfactory bowel frequency.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s005950050473
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
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