Use of a continent colonic conduit for treatment of refractory evacuatory disorder following construction of an electrically stimulated gracilis neoanal sphincter

Abstract

Construction of a CCC is a useful technique for the majority of patients with severe evacuatory disorders following the formation of an electrically stimulated gracilis neoanal sphincter, for whom the only alternative would be an end stoma. A CCC may be incorporated with construction of an electrically stimulated gracilis neoanal sphincter in patients at significant risk of postoperative severe evacuatory disorders.

The Colorectal Development Unit: impact on functional outcome for the electrically stimulated gracilis neoanal sphincter

“…Reconstructive surgery has moved on and it is now apparent that patients with a hypersensitive rectum as well as a sphincter defect may require rectal augmentation in addition to an ESGN [34]. Those with severe evacuatory difficulties may need an ACE procedure or a continent colonic conduit [37,47] or rectal reduction [40]. The fact that reconstruction of this type did not take place prior to the inception of the CDU and only then in small numbers has to be recognized.…”