[Use of antiperistaltic cecoproctostomy in colorectal reconstruction].
Zhonghua Wei Chang Wai Ke Za Zhi
; 14(6): 419-21, 2011 Jun.
Article
en Zh
| MEDLINE
| ID: mdl-21713699
OBJECTIVE: To explore the feasibility and functional outcome of antiperistaltic cecoproctostomy in colorectal reconstruction. METHODS: Fifty-six patients who underwent antiperistaltic cecoproctostomy were retrospectively studied. Indications for antiperistaltic cecoproctostomy included slow transit constipation(n=44), synchronous colon cancer or colonic polyps(n=5), acute obstructing left colon carcinoma(n=4), and adult megacolon(n=3). RESULTS: Short-term postoperative complications included wound infections(n=5), 3 lymphatic leakages(n=3), and inflammatory small bowel obstruction(n=1). One month after antiperistaltic cecoproctostomy, the median frequency of daily bowel movement was 4.0(range, 2-6). After a median follow-up of 4 years(range, 1 month to 7 years), the median daily bowel frequency was 2.5(range, 0.5-4.0). Five patients suffered from long-term postoperative complications including small bowel obstruction(n=3), incision hernia(n=1), and mild cecal dilatation(n=1). The mean Wexner incontinence score was 4.2±1.1. CONCLUSION: Antiperistaltic cecoproctostomy is safe and effective for colorectal reconstruction.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Recto
/
Procedimientos Quirúrgicos del Sistema Digestivo
/
Anastomosis Quirúrgica
/
Ciego
Tipo de estudio:
Observational_studies
Límite:
Adult
/
Aged
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
Zh
Revista:
Zhonghua Wei Chang Wai Ke Za Zhi
Asunto de la revista:
GASTROENTEROLOGIA
Año:
2011
Tipo del documento:
Article
País de afiliación:
China
Pais de publicación:
China