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International Journal of Colorectal Disease
Published in: International Journal of Colorectal Disease 11/2009

01-11-2009 | Original Article

Comparison of a colonic J-pouch and transverse coloplasty pouch in patients with rectal cancer after an ultralow anterior resection using fecoflowmetric profiles

Authors: Kobayashi Yasuo, Yagi Minoru, Iiai Tsuneo, Tani Tatsuo, Maruyama Satoshi, Hatakeyama Katsuyoshi

Published in: International Journal of Colorectal Disease | Issue 11/2009

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Abstract

Purpose

Because the standard straight coloanal anastomosis for low rectal cancer tends to result in unfavorable outcomes in terms of defecatory function, colonic pouch reconstruction has therefore recently been adopted in many institutions. The colonic J-pouch (CJP)- and transverse coloplasty pouch (TCP)-anal anastomoses have been adopted worldwide. However, the comparative benefits and drawbacks of the two procedures are uncertain. This study was designed to analyze the functional and clinical outcomes after an ultralow anterior resection (ULAR) using the fecoflowmetry (FFM).

Methods

Between November 1996 and July 2005, 18 patients were studied retrospectively. They were evaluated by FFM, together with Kelly’s clinical score (KCS), and anorectal manometric assessments were also performed.

Results

The KCS directly correlated to the maximum fecal stream flow rate (F max). In this study, postoperative patients with good KCS as well as a high value of F max were seen more in the patients with CJP than in those with TCP.

Conclusion

From the viewpoint of FFM, the patients with CJP had a more favorable functional outcome than those with TCP. FFM provided quantitative and qualitative evaluations concerning the anorectal motor activity in patients who had undergone an ULAR for rectal cancer.
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Metadata
Title
Comparison of a colonic J-pouch and transverse coloplasty pouch in patients with rectal cancer after an ultralow anterior resection using fecoflowmetric profiles
Authors
Kobayashi Yasuo
Yagi Minoru
Iiai Tsuneo
Tani Tatsuo
Maruyama Satoshi
Hatakeyama Katsuyoshi
Publication date
01-11-2009
Publisher
Springer-Verlag
Published in
International Journal of Colorectal Disease / Issue 11/2009
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-009-0763-6

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