Long-term functional outcome after low anterior resection

Abstract

Colonic J-pouch-anal anastomosis offers superior long-term function compared with low colorectal anastomosis after radical treatment of rectal cancer. Preservation of a short rectal segment followed by a straight colorectal anastomosis does not offer any clinical advantage over colonic J-pouch-anal anastomosis.

Quality of Life, Functional Outcome, and Complications of Coloplasty Pouch After Low Anterior Resection

“…1,2 The effectiveness of the colonic J-pouch in decreasing stool frequency has been demonstrated in many retrospective, prospective, and prospectively randomized studies. [3][4][5][6][7][8][9][10][11][12][13][14][15] However, in patients with a narrow pelvis, a long anal canal with prominent sphincters, or a bulky colonic mesentery, the colonic J-pouch may not be possible. A simpler, smaller design, transverse coloplasty has been described by Z'graggen et al as an alternative to either the colonic J-pouch or straight coloanal anastomosis when a J-pouch is not possible.…”

Modern Management of Rectal Cancer

“…A recent study compared 47 patients, who underwent colonic J pouch anal anastomosis, with 34 patients who had a low colorectal anastomosis. Functional results were significantly better in the J pouch group, even when a short rectal segment was present in the straight anastomosis group [112]. …”

Comparison of Laparoscopic Anterior Discoid Resection and Laparoscopic Low Anterior Resection of Deep Infiltrating Rectosigmoid Endometriosis

“…These may include constipation, difficult defecation, a sense of incomplete emptying, or diarrhea. 26,27 The effect of such long-term subjective complications on the patient's quality of life is controversial when the benefits of aggressive treatment of rectovaginal endometriosis are considered.…”