caa a22 4500 606207295 CHVBK 20210128101016.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s10353-015-0345-5 doi (NATIONALLICENCE)springer-10.1007/s10353-015-0345-5 Experience of colonic J pouch reconstruction following anterior resection [Elektronische Daten] [M. Walls, R. Barratt, T. J. Muscroft] Summary: Background: Anterior resection of the rectum can be associated with disturbance of bowel function termed ‘anterior resection syndrome'. Many techniques to improve bowel function following surgery have been proposed and we present our experience of one of them: the colonic J pouch. Method: Eligible patients were identified, notes searched for key variables including disease type, disease stage if malignant and patient comorbidities. A bowel function questionnaire was sent to all eligible patients. The Mann-Whitney U test was used for statistical analysis. Results: Overall, 65 patients responded to the questionnaire. Demographics were not significantly different. When compared together, bowel frequency, medication use and incontinence symptoms were significantly improved in the straight anastomosis (p = 0.016, 0.004 and 0.046 respectively). When subdivided by time postoperatively (≤ 5 years and ≥ 6 years), only medication use retained significance (p = 0.044, 0.037 respectively). No evacuatory difficulties were seen in the pouch group. More patients in the pouch group received neoadjuvant chemoradiotherapy (5.7 vs 63.3 %). Discussion: Our results seem to indicate better functional following straight anastomosis however, due to the increased use of chemoradiotherapy in the pouch group, it is difficult to compare the groups and draw firm conclusions. Larger studies are necessary to provide clarity. Springer-Verlag Wien, 2015 J pouch nationallicence Anterior resection nationallicence Bowel function nationallicence Quality of life nationallicence Walls M. Walsall Manor Hospital, Moat Road, WS2 9PS, Walsall, UK aut Barratt R. Walsall Manor Hospital, Moat Road, WS2 9PS, Walsall, UK aut Muscroft T. J. Walsall Manor Hospital, Moat Road, WS2 9PS, Walsall, UK aut European Surgery Springer Vienna 47/5(2015-10-01), 243-247 1682-8631 47:5<243 2015 47 10353 https://doi.org/10.1007/s10353-015-0345-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10353-015-0345-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Walls M. Walsall Manor Hospital, Moat Road, WS2 9PS, Walsall, UK aut NATIONALLICENCE 700 1- Barratt R. Walsall Manor Hospital, Moat Road, WS2 9PS, Walsall, UK aut NATIONALLICENCE 700 1- Muscroft T. J. Walsall Manor Hospital, Moat Road, WS2 9PS, Walsall, UK aut NATIONALLICENCE 773 0- European Surgery Springer Vienna 47/5(2015-10-01), 243-247 1682-8631 47:5<243 2015 47 10353