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This study aimed to compare the overall survival in familial adenomatous polyposis patients who underwent stapled or hand-sewn ileal pouch\u2013anal anastomosis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This multicenter retrospective study was conducted at 12 institutions in Shizuoka Prefecture, Japan. The clinical outcomes of 53 eligible familial adenomatous polyposis patients who underwent stapled (<jats:italic>n<\/jats:italic>\u2009=\u200924) and hand-sewn (<jats:italic>n<\/jats:italic>\u2009=\u200929) ileal pouch\u2013anal anastomosis were compared.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The median follow-up duration was 171.5 months. The incidence of adenoma in the remnant rectum or anal transitional zone and metachronous rectal cancer was significantly more common in stapled ileal pouch\u2013anal anastomosis (adenoma: stapled, 45.8%, vs. hand-sewn, 10.3%, <jats:italic>p<\/jats:italic>\u2009=\u20090.005; metachronous rectal cancer: 29.2%, vs. none, <jats:italic>p<\/jats:italic>\u2009=\u20090.002). The number of deaths was remarkably higher in stapled ileal pouch\u2013anal anastomosis (<jats:italic>p<\/jats:italic>\u2009=\u20090.002). Metachronous rectal cancer was the most common cause of death. Overall survival was worse in stapled ileal pouch\u2013anal anastomosis than in hand-sewn ileal pouch\u2013anal anastomosis (120 months, 90.7% vs. 96.6%; 240 months, 63.7% vs. 96.6%; <jats:italic>p<\/jats:italic>\u2009=\u20090.044). Cox regression analysis revealed the independent effects of preoperative advanced colorectal cancer and stapled ileal pouch\u2013anal anastomosis on overall survival.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Stapled ileal pouch\u2013anal anastomosis negatively affected the overall survival of familial adenomatous polyposis patients. Therefore, hand-sewn ileal pouch\u2013anal anastomosis is recommended for better prognosis in these patients.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00384-024-04608-9","type":"journal-article","created":{"date-parts":[[2024,3,2]],"date-time":"2024-03-02T19:01:27Z","timestamp":1709406087000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Long-term prognosis after stapled and hand-sewn ileal pouch\u2013anal anastomoses for familial adenomatous polyposis: a multicenter retrospective study"],"prefix":"10.1007","volume":"39","author":[{"given":"Kyota","family":"Tatsuta","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayu","family":"Sakata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moriya","family":"Iwaizumi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuya","family":"Okamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeto","family":"Yoshii","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masashi","family":"Mori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutaro","family":"Asaba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Harada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikihiro","family":"Shimizu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiyotaka","family":"Kurachi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroya","family":"Takeuchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,3,2]]},"reference":[{"key":"4608_CR1","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1007\/s00384-023-04370-4","volume":"38","author":"U Uylas","year":"2023","unstructured":"Uylas U, Gundogdu R, Sumer F, Samdanci E, Kayaalp C (2023) Incidental cancer in colectomy specimens from patients with familial adenomatous polyposis: single centre experience and literature review. 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