{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T00:02:28Z","timestamp":1703635348779},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2011,11,10]],"date-time":"2011-11-10T00:00:00Z","timestamp":1320883200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Ileocecal interposition (ICI) for first\u2010line reconstruction after low anterior colorectal resection was introduced by von Fl\u00fce and Harder in 1994 (Dis Colon Rectum 37:1160\u20131162, 1994). We report our experience using this technique to bridge colonic gaps after significant loss of bowel length.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and methods<\/jats:title><jats:p>Between 1999 and 2009 the left\u2010sided colon was too short for traditional isoperistaltic reconstruction in six patients treated in our hospital. Reasons for extensive bowel loss were a deficient (<jats:italic>n<\/jats:italic> = 3) or torn (<jats:italic>n<\/jats:italic> = 1) marginal artery with ischemia or repeat colorectal resections (<jats:italic>n<\/jats:italic> = 2). An ICI was done to bridge the gap and enable restoration of intestinal continuity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No patient died. Whenever performing a coloanal anastomosis (4\/6) a loop ileostomy was raised. One patient with colonic diversion experienced graft\u2010related complications: ischemic colitis of the interposed colonic segment, anastomotic stenosis, and a presacral sinus were observed and managed nonoperatively. Subsequent closure of the stoma was possible in all cases. A median Vaizey incontinence score of 9 (range: 4\u201314) was recorded in the patient with coloanal anastomosis. The average number of bowel movements per day was 1.5 (range: 0.5\u20136).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>When the descending colon does not reach the rectal stump or anal canal in reoperative cases or after vascular complication, ICI is a useful salvage procedure resulting in good bowel function.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-011-1337-7","type":"journal-article","created":{"date-parts":[[2011,11,9]],"date-time":"2011-11-09T17:28:48Z","timestamp":1320859728000},"page":"186-191","source":"Crossref","is-referenced-by-count":1,"title":["Bridging the Gap with an Ileocolonic Graft after Extensive Colorectal Resections"],"prefix":"10.1002","volume":"36","author":[{"given":"B.","family":"Dauser","sequence":"first","affiliation":[{"name":"Department of Surgery St. John of God Hospital Johannes von Gott Platz 1 1020 Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Riss","sequence":"additional","affiliation":[{"name":"Department of Surgery Medical University of Vienna Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Stopfer","sequence":"additional","affiliation":[{"name":"Department of Surgery St. John of God Hospital Johannes von Gott Platz 1 1020 Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Herbst","sequence":"additional","affiliation":[{"name":"Department of Surgery St. John of God Hospital Johannes von Gott Platz 1 1020 Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,11,10]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"241","article-title":"Surgical anatomy of the blood supply of the distal colon","volume":"19","author":"Griffiths JD","year":"1956","journal-title":"Ann R Coll Surg 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