{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T16:50:55Z","timestamp":1760547055331},"reference-count":15,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2001,12,24]],"date-time":"2001-12-24T00:00:00Z","timestamp":1009152000000},"content-version":"vor","delay-in-days":510,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aust. N.Z. J. Surg."],"published-print":{"date-parts":[[2000,8]]},"abstract":"<jats:p><jats:bold>Background<\/jats:bold>: Postoperative radiotherapy after restorative resection for rectal carcinoma can cause fibrosis, stricture and proctitis. There are few accounts in the literature of the surgical approach to the radiation\u2010damaged neorectum.<\/jats:p><jats:p><jats:bold>Methods<\/jats:bold>: Reported are four patients who underwent resection of the radiation\u2010damaged neorectum with colonic J pouch reconstruction between September 1996 and July 1997. The operative and postoperative course is described. Parameters of bowel function were assessed by standardized interview 6 months after ileostomy reversal. Ongoing follow up has occurred to the present time.<\/jats:p><jats:p><jats:bold>Results<\/jats:bold>: There was no mortality. Complications were splenic injury requiring splenectomy and a pelvic collection requiring percutaneous drainage. At 6 months after ileostomy reversal all patients had ongoing disturbance of bowel function, and two patients described some degree of incontinence. The mean frequency of bowel actions was four per day. Two patients have subsequently undergone further resection and formation of an end stoma.<\/jats:p><jats:p><jats:bold>Conclusions<\/jats:bold>: Resection of the radiation\u2010damaged neorectum with colonic J pouch reconstruction is technically feasible. Functional results in the present series were disappointing and half the patients went on to formation of a permanent stoma.<\/jats:p>","DOI":"10.1046\/j.1440-1622.2000.01898.x","type":"journal-article","created":{"date-parts":[[2003,3,11]],"date-time":"2003-03-11T02:44:42Z","timestamp":1047350682000},"page":"560-562","source":"Crossref","is-referenced-by-count":6,"title":["Colonic J Pouch Reconstruction Of The Radiation\u2010Damaged Neorectum"],"prefix":"10.1111","volume":"70","author":[{"given":"Andrew N.","family":"Thompson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Levitt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2001,12,24]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00298533"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199411000-00012"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1995.tb00547.x"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19831201)52:11<2017::AID-CNCR2820521108>3.0.CO;2-M"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199103143241101"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198112000-00010"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(86)90086-3"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800650615"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800680716"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800740111"},{"key":"e_1_2_5_12_2","first-page":"521","article-title":"The management of late radiation induced rectal injury after treatment of carcinoma of the uterus.","volume":"164","author":"Allen\u2010Mersh TG","year":"1987","journal-title":"Surg. 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