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Colonic J-pouch-anal anastomosis for rectal cancer
Nidal Dehni1, Rolland Parc, James M Church
1Centre de Chirurgie Digestive, Hôpital Saint Antoine, Paris, France.
Purpose:
The purpose of this article is to review the different aspects of the colonic J-pouch reconstruction with special focus on functional results and complications.
Methods:
A MEDLINE search from 1965 to the present with manual search for older articles was used as the basis of this review.
Results:
Rectal reconstruction using a colonic J-pouch-anal anastomosis after excision of extraperitoneal cancers can be performed with acceptable morbidity and good functional results.
Conclusions:
Among the different methods of rectal reconstruction now available after total rectal resection for cancer, the colonic J-pouch may be the optimal choice.