Effects of Aging on the Functional Outcome of Coloanal Anastomosis with Colonic J-Pouch

Levator–sphincter reinforcement after ultralow anterior resection in patients with low rectal cancer: the surgical method and evaluation of anorectal physiology

“…As sphincter and pelvic floor functions deteriorate with age, continence after uLAR appears to be adversely affected in the elderly [20]. Certain studies have identified a positive correlation between advanced age and post-LAR incontinence, whereas others have not [19][20][21]. However, in these latter studies in which there was no correlation, more than half of the patients received a colonic J-pouch, which could have affected continence by enhancing the rectal capacity and compliance.…”

A meta-analysis comparing side to end with colonic J-pouch formation after anterior resection for rectal cancer

“…The Association of Coloproctology of Great Britain and Ireland [30] (ACPGBI) suggest considering J-pouch formation after anterior resection. Reports supporting their use in the elderly encourage usage in relation to post-operative functional outcome [31]. The J-pouch technique was originally described in 1986 [32,33] and involves the formation of a pouch approximately 5-8 cm often using a linear stapler device introduced through its apex before anastomosis to the remaining rectal stump; recent advances have included the construction of J-pouch using a minimally invasive procedure [34].…”

A Randomized Multicenter Trial to Compare Long-Term Functional Outcome, Quality of Life, and Complications of Surgical Procedures for Low Rectal Cancers

“…10,14,15 However urgency of defecation with the JP has not shown to be decreased by any study. 3,12,14,16 Not all patients can have a JP incorporated into a coloanal anastomosis. Limitations to the construction of a JP include a narrow pelvis, a bulky mesentery or large appendices epiploicae, mucosectomy, insufficient colonic length, or extensive diverticular disease.…”