[After low anterior rectal resection, colonic pull-through with delayed colo-anal anastomosis can avoid the need for a diverting ileostomy]

Olivier Facy 1, 2, * N. Lagoutte 2 Sophie Jambet 1, 2 François Radais 2 Jean-Pierre Favre 2 Patrick Rat 2 Pablo Ortega Deballon 2
* Auteur correspondant
1 LNC - Lipides - Nutrition - Cancer (U866)
2 Service de Chirurgie Digestive, Cancérologique, Générale, Endocrinienne et Urgences (CHU de Dijon)
Abstract : A delayed colo-anal anastomosis has been proposed as a way to avoid diverting stoma after low anterior resection. Surgical and functional results were reviewed in 17 patients operated between 1999 and 2007 using this technique. Complications included one colonic necrosis, two pelvic abscesses and one colovaginal fistula. Results of continence and quality of life scores were satisfactory. Rates of parietal and septic complications are low after delayed colo-anal anastomosis and functional results are good. The use of this technique is particularly effective to avoid diverting ileostomy and for use in patients with a high risk of pouch fistula.
Type de document :
Article dans une revue
Journal de Chirurgie, Elsevier, 2009, 146 (5), pp.458-63. 〈10.1016/j.jchir.2009.09.001〉
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http://www.hal.inserm.fr/inserm-00475079
Contributeur : Pablo Ortega Deballon <>
Soumis le : mercredi 21 avril 2010 - 11:26:13
Dernière modification le : vendredi 8 juin 2018 - 14:50:12

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LNC-UMR866 | ENSBANA

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Olivier Facy, N. Lagoutte, Sophie Jambet, François Radais, Jean-Pierre Favre, et al.. [After low anterior rectal resection, colonic pull-through with delayed colo-anal anastomosis can avoid the need for a diverting ileostomy]. Journal de Chirurgie, Elsevier, 2009, 146 (5), pp.458-63. 〈10.1016/j.jchir.2009.09.001〉. 〈inserm-00475079〉

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