Abstract
In the last two decades one of the main targets of anorectocolic surgery has been to develop sphincter saving procedure able to achieve good results with acceptable five-years survivals, optimal local control of the diseases and low rate of local cancer recurrence. Partially the development of new operative techniques such as low colorectal and coloanal anastomoses with or without pouch, the TME operation and the nerve sparing procedure have reach this target. In fact, often after these operations we can observe a functional syndrome called "Post Anterior Resection Syndrome". The basis of this syndrome have to researched in anatomical and physiological alterations that followed a reconstructive operation. It is characterized by frequency and fragmentation of the stool, feeling of incomplete evacuation, tenesmus and urgency. Fecal continence may be compromised to different levels: usually with alteration limited to soiling and impaired control of flatus, occasionally with loss of liquid stool, rarely with loss of solid stools. The anorectal function will be altered for long time following the surgical procedure and the stabilization of functional results may require 1-3 years. On the basis of these considerations, the authors examine the etiopathogenesis and clinical presentation of the "Post Anterior Resection Syndrome", suggesting some expedients to prevent the functional problems. Analysing our experience and a wide specific bibliography they also underline the indispensable point to achieve a good functional results afier a reconstructive procedure. The author conclude asserting that the absence of these points have to be carefully valued because, in these situations, a simply colostomy is able to guarantee a better quality of life that a colorecta/coloanal anastomoses with or without pouch but associated to functional problems.
| Original language | Italian |
|---|---|
| Pages (from-to) | 443-448 |
| Number of pages | 6 |
| Journal | Annali Italiani di Chirurgia |
| Volume | 72 |
| Issue number | 4 |
| Publication status | Published - Jul 2001 |
Fingerprint
ASJC Scopus subject areas
- Surgery
Cite this
Considerazioni sui risultati funzionali delle anastomosi colorettali e coloanali con e senza pouch. / Santangelo, M.; Romano, G.; Vescio, G.; Bossa, F.; Manzo, F.; Santangelo, M. L.; Musella, S.
In: Annali Italiani di Chirurgia, Vol. 72, No. 4, 07.2001, p. 443-448.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Considerazioni sui risultati funzionali delle anastomosi colorettali e coloanali con e senza pouch
AU - Santangelo, M.
AU - Romano, G.
AU - Vescio, G.
AU - Bossa, F.
AU - Manzo, F.
AU - Santangelo, M. L.
AU - Musella, S.
PY - 2001/7
Y1 - 2001/7
N2 - In the last two decades one of the main targets of anorectocolic surgery has been to develop sphincter saving procedure able to achieve good results with acceptable five-years survivals, optimal local control of the diseases and low rate of local cancer recurrence. Partially the development of new operative techniques such as low colorectal and coloanal anastomoses with or without pouch, the TME operation and the nerve sparing procedure have reach this target. In fact, often after these operations we can observe a functional syndrome called "Post Anterior Resection Syndrome". The basis of this syndrome have to researched in anatomical and physiological alterations that followed a reconstructive operation. It is characterized by frequency and fragmentation of the stool, feeling of incomplete evacuation, tenesmus and urgency. Fecal continence may be compromised to different levels: usually with alteration limited to soiling and impaired control of flatus, occasionally with loss of liquid stool, rarely with loss of solid stools. The anorectal function will be altered for long time following the surgical procedure and the stabilization of functional results may require 1-3 years. On the basis of these considerations, the authors examine the etiopathogenesis and clinical presentation of the "Post Anterior Resection Syndrome", suggesting some expedients to prevent the functional problems. Analysing our experience and a wide specific bibliography they also underline the indispensable point to achieve a good functional results afier a reconstructive procedure. The author conclude asserting that the absence of these points have to be carefully valued because, in these situations, a simply colostomy is able to guarantee a better quality of life that a colorecta/coloanal anastomoses with or without pouch but associated to functional problems.
AB - In the last two decades one of the main targets of anorectocolic surgery has been to develop sphincter saving procedure able to achieve good results with acceptable five-years survivals, optimal local control of the diseases and low rate of local cancer recurrence. Partially the development of new operative techniques such as low colorectal and coloanal anastomoses with or without pouch, the TME operation and the nerve sparing procedure have reach this target. In fact, often after these operations we can observe a functional syndrome called "Post Anterior Resection Syndrome". The basis of this syndrome have to researched in anatomical and physiological alterations that followed a reconstructive operation. It is characterized by frequency and fragmentation of the stool, feeling of incomplete evacuation, tenesmus and urgency. Fecal continence may be compromised to different levels: usually with alteration limited to soiling and impaired control of flatus, occasionally with loss of liquid stool, rarely with loss of solid stools. The anorectal function will be altered for long time following the surgical procedure and the stabilization of functional results may require 1-3 years. On the basis of these considerations, the authors examine the etiopathogenesis and clinical presentation of the "Post Anterior Resection Syndrome", suggesting some expedients to prevent the functional problems. Analysing our experience and a wide specific bibliography they also underline the indispensable point to achieve a good functional results afier a reconstructive procedure. The author conclude asserting that the absence of these points have to be carefully valued because, in these situations, a simply colostomy is able to guarantee a better quality of life that a colorecta/coloanal anastomoses with or without pouch but associated to functional problems.
KW - Coloanal anastomosis
KW - Colonic J-pouch
KW - Colorectal anastomosis
KW - Functional results
KW - Post anterior resection syndrome
KW - Sphincter saving surgery
UR - http://www.scopus.com/inward/record.url?scp=0035411268&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0035411268&partnerID=8YFLogxK
M3 - Articolo
C2 - 11865697
AN - SCOPUS:0035411268
VL - 72
SP - 443
EP - 448
JO - Annali Italiani di Chirurgia
JF - Annali Italiani di Chirurgia
SN - 0003-469X
IS - 4
ER -