Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Surgical approaches to obtaining optimal bowel function.

O Hallböök1, R Sjödahl

  • 1Colorectal Surgery, University Hospital, Linköping, Sweden.

Seminars in Surgical Oncology
|April 11, 2000
PubMed
Summary

Restorative rectal resection often leads to poor functional outcomes and bowel dysfunction. Utilizing a colonic pouch, especially with a side-to-end anastomosis, can significantly improve neorectal volume and patient results.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Concordance between COVID-19 mortality statistics derived from clinical audit and death certificates in Östergötland county, Sweden.

Public health·2023
Same author

Stapled versus robot-sewn ileo-ileal anastomosis during robot-assisted radical cystectomy: a review of outcomes in urinary bladder cancer patients.

Scandinavian journal of urology·2020
Same author

Palliation of Malignant Biliary Obstruction: Adverse Events are Common after Percutaneous Transhepatic Biliary Drainage.

Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society·2017
Same author

Randomized clinical trial comparing collagen plug and advancement flap for trans-sphincteric anal fistula.

The British journal of surgery·2017
Same author

Costs and resource use following defunctioning stoma in low anterior resection for cancer - A long-term analysis of a randomized multicenter trial.

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·2017
Same author

Nodal involvement in luminal complete response after neoadjuvant treatment for rectal cancer.

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·2016

Area of Science:

  • Colorectal Surgery
  • Surgical Oncology
  • Gastroenterology

Background:

  • Traditional restorative rectal resection results in unsatisfactory functional outcomes for about 50% of patients.
  • Postoperative symptoms include urgency, frequent bowel movements, and fecal incontinence due to disturbed rectal reservoir function.
  • The size and properties of the rectal remnant and neorectal wall limit the colon's ability to substitute for rectal function.

Purpose of the Study:

  • To evaluate surgical techniques for restorative rectal resection to improve functional outcomes.
  • To compare straight vs. side-to-end anastomosis and the role of colonic pouches.
  • To determine optimal anastomosis location and pouch size for better neorectal function.

Main Methods:

  • Analysis of functional results after different restorative rectal resection techniques.

Related Experiment Videos

  • Comparison of straight anastomosis, side-to-end anastomosis, and end-to-end anastomosis.
  • Evaluation of colonic pouch creation for neorectal volume augmentation.

    • Main Results:

    • Side-to-end anastomosis is likely preferable to end-to-end anastomosis.
    • A straight anastomosis is recommended only when the rectal remnant is 7-8 cm from the anal verge; descending colon is preferred over sigmoid.
    • Colonic pouches, particularly when the anastomosis is 3-5 cm from the anal verge with a 6-7 cm staple line, improve neorectal volume and reduce functional disturbances.

    Conclusions:

    • Colonic pouch creation is crucial for optimizing functional results after restorative rectal resection, especially for lower anastomosis sites.
    • A side-to-end anastomosis and the use of the descending colon are recommended.
    • Appropriate pouch size (6-7 cm staple line) balances neorectal volume with evacuation efficiency, mitigating low anterior resection syndrome.