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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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Bibliographische Detailangaben
Hauptverfasser: Ganschow, Petra (VerfasserIn) , Treiber, Irmgard (VerfasserIn) , Hinz, Ulf (VerfasserIn) , Leowardi-Bauer, Christine (VerfasserIn) , Büchler, Markus W. (VerfasserIn) , Kadmon, Martina (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 14 January 2015
In: Langenbeck's archives of surgery
Year: 2015, Jahrgang: 400, Heft: 2, Pages: 213-219
ISSN:1435-2451
DOI:10.1007/s00423-014-1263-x
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/s00423-014-1263-x
Volltext
Verfasserangaben:Petra Ganschow, Irmgard Treiber, Ulf Hinz, Christine Leowardi, Markus W. Büchler, Martina Kadmon
Beschreibung
Zusammenfassung: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.
Beschreibung:Gesehen am 06.08.2021
Beschreibung:Online Resource
ISSN:1435-2451
DOI:10.1007/s00423-014-1263-x

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