Journal article

The impact of technical factors on outcome of restorative proctocolectomy for familial adenomatous polyposis

Alexander C von Roon, Paris P Tekkis, Susan K Clark, Alexander G Heriot, Richard E Lovegrove, Simona Truvolo, R John Nicholls, Robin KS Phillips

DISEASES OF THE COLON & RECTUM | SPRINGER | Published : 2007

Abstract

PURPOSE: This study was designed to assess the impact of technical factors on functional outcomes and complications in patients undergoing restorative proctocolectomy for familial adenomatous polyposis. METHODS: This was a descriptive study on 189 patients undergoing restorative proctocolectomy in a single tertiary referral center between 1977 and 2003. Primary outcomes were major complications, pouch function, and neoplastic transformation in the anal transitional zone. RESULTS: Pouch construction was J-reservoir (60 percent), W-reservoir (34 percent), or S-reservoir (6 percent), with double-stapled (31 percent) or handsewn anastomosis with mucosectomy (69 percent). Overall pouch survival w..

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