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document
[ Restorative proctectomy , reconstruction of continuity with or without colon J pouch ] . Of 63 patients undergoing deep anterior resection of the rectum , 39 patients received a straight colo-anal anastomosis ( CAA ) , 24 additionally had a colon-j-pouch ( CPA ) constructed . Local septic complications occurred in 12.5 % of patients after pouch-anal anastomosis compared to 20.5 % after colo-anal anastomosis : stool frequency , after pouch-anal anastomosis was 3.3 per 24 h compared to 5.2 per 24 h after straight anastomosis within the first year after ileostomy closure ( p = 0.053 ) ; continence was slightly better in the pouch group ( n.s . ) ; and anal manometry showed a significant postoperative decrease only in resting pressure after straight colo-anal anastomosis ( p < 0.001 ) . Pouch construction should be considered after deep rectal resection , as it seems to improve functional outcome and has fewer local septic complications than straight anastomosis .
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Intervention_Physical
straight colo-anal anastomosis ( CAA )
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Intervention_Physical
colon-j-pouch ( CPA ) constructed
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Outcome_Adverse-effects
Local septic complications
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Outcome_Physical
continence
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Outcome_Physical
manometry
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Outcome_Physical
functional outcome
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Outcome_Adverse-effects
local septic complications
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Participant_Sample-size
63
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Participant_Condition
deep anterior resection of the rectum
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Participant_Sample-size
39