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Residual rectal mucosa after stapled vs. handsewn ileal J-pouch-anal anastomosis in patients with familial adenomatous polyposis coli (FAP) - a critical issue

Restorative proctocolectomy has become the standard surgical procedure for familial adenomatous polyposis (FAP) patients. The use of stapler devices has initiated a controversial discussion concerning the ileal pouch-anal reconstruction. Some authors advocate a handsewn anastomosis after transanal m...

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Bibliographic Details
Main Authors: Ganschow, Petra (Author) , Treiber, Irmgard (Author) , Hinz, Ulf (Author) , Leowardi-Bauer, Christine (Author) , Büchler, Markus W. (Author) , Kadmon, Martina (Author)
Format: Article (Journal)
Language:English
Published: 14 January 2015
In: Langenbeck's archives of surgery
Year: 2015, Volume: 400, Issue: 2, Pages: 213-219
ISSN:1435-2451
DOI:10.1007/s00423-014-1263-x
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/s00423-014-1263-x
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Author Notes:Petra Ganschow, Irmgard Treiber, Ulf Hinz, Christine Leowardi, Markus W. Büchler, Martina Kadmon
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Summary:Restorative proctocolectomy has become the standard surgical procedure for familial adenomatous polyposis (FAP) patients. The use of stapler devices has initiated a controversial discussion concerning the ileal pouch-anal reconstruction. Some authors advocate a handsewn anastomosis after transanal mucosectomy. A double-stapled anastomosis leads to better functional results but seems to bear a higher risk of residual rectal mucosa with dysplasia and adenomas. The present study systematically analyses the rate of residual rectal mucosa after restorative proctocolectomy and handsewn vs. stapled anastomosis.
Item Description:Gesehen am 06.08.2021
Physical Description:Online Resource
ISSN:1435-2451
DOI:10.1007/s00423-014-1263-x

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