ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2009
Does mesorectal preservation protect the ileoanal anastomosis after restorative proctocolectomy?
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Update of complications and functional outcome of the ileo-pouch anal anastomosis: overview of evidence and meta-analysis of 96 observational studies.International journal of colorectal disease · 2012Pooled it
- One-year stoma-free survival of ileoanal pouches for UC in European centers: The MIRACLE project.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Long-term outcomes after close rectal dissection and total mesorectal excision in ileal pouch-anal anastomosis for ulcerative colitis.Techniques in coloproctology · 2023Article
- Application and evaluation of transitory protective stoma in ovarian cancer surgery.Frontiers in oncology · 2023Review
- Transanal ileal pouch-anal anastomosis for ulcerative colitis: a single-center comparative study.Techniques in coloproctology · 2022Article
- Proctocolectomy and ileal pouch-anal anastomosis for the treatment of collagenous colitis.Clinical journal of gastroenterology · 2022Article
- Indications and Surgical Technique for Transanal Proctectomy and Ileal Pouch-Anal Anastomosis for Inflammatory Bowel Disease.Clinics in colon and rectal surgery · 2022Review
- Management of Low Rectal Cancer Complicating Ulcerative Colitis: Proposal of a Treatment Algorithm.Cancers · 2021Article
- [How does the ileoanal pouch keep its promises? : Functioning of the ileoanal pouch after restorative proctocolectomy].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017Review
- [The technique of restorative proctocolectomy with ileal J‑pouch : Standards and controversies].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017Review
- Surgical treatment of ulcerative colitis: ileorectal vs ileal pouch-anal anastomosis.World journal of gastroenterology · 2014Review
- Robotic-assisted proctectomy for inflammatory bowel disease: a case-matched comparison of laparoscopic and robotic technique.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2012Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsThe technique of rectal dissection during restorative proctocolectomy might influence the rate of septic complications. The aim of this study was to analyze the morbidity of restorative proctocolectomy in a consecutive series of patients who had rectal dissection with complete preservation of the mesorectum. PATIENTS AND
methodsOne hundred thirty-one patients who had restorative proctocolectomy for chronic inflammatory bowel disease with handsewn ileopouch-anal anastomosis (IPAA) and preservation of the mesorectal tissue were analyzed by chart reviews and a follow-up investigation at a median of 85 (14-169) months after surgery.
resultsOnly one of 131 patients had a leak from the IPAA, and one patient had a pelvic abscess without evidence of leakage, resulting in 1.5% local septic complications. All other complications including the pouch failure rate (7.6%) and the incidence of both fistula (6.4%) and pouchitis (47.9%) were comparable to the data from the literature.
conclusionThe low incidence of local septic complications in this series might at least in part result from the preservation of the mesorectum. As most studies do not specify the technique of rectal dissection, this theory cannot be verified by an analysis of the literature and needs further approval by a randomized trial.
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