{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T04:30:46Z","timestamp":1697689846149},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,3,27]],"date-time":"2013-03-27T00:00:00Z","timestamp":1364342400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim\u2002<\/jats:bold> The aim of the study was to evaluate intra\u2010operative difficulties, complications and long\u2010term bowel function in polyposis patients undergoing conversion of an ileorectal anastomosis to an ileoanal pouch, compared with patients with a primary ileoanal pouch operation.<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> A national register\u2010based retrospective study was performed with clinical follow\u2010up and a questionnaire on long\u2010term bowel function.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> There were 84 patients in the study: 59 (70%) had a primary pouch operation and in 25 (30%) a secondary pouch procedure was attempted. This was abandoned, in one case, leaving 24 patients who had a successful secondary restorative proctocolectomy. The median (range) follow\u2010up was 123 (0\u2013359)\u2003months. There were no intra\u2010operative difficulties in the 59 primary operations, but intra\u2010operative difficulties were reported in nine of 25 secondary operations (<jats:italic>P\u2003<\/jats:italic>&lt;\u20030.001). Complications within 1\u2003month of surgery occurred in six of 59 primary operations and in none of 24 secondary operations (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.001); and late surgical complications occurred in eight of 55 primary operations and in eight of 24 secondary operations (<jats:italic>P\u2003<\/jats:italic>=\u20030.13). The only difference in bowel function was a lower frequency of nocturnal defaecation after secondary pouch formation (<jats:italic>P\u2003<\/jats:italic>=\u20030.02).<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> Reoperation with proctectomy after a previous ileorectal anastomosis and conversion to restorative proctocolectomy is feasible in polyposis patients, with morbidity and functional results similar to those seen after a primary pouch operation.<\/jats:p>","DOI":"10.1111\/codi.12020","type":"journal-article","created":{"date-parts":[[2012,9,7]],"date-time":"2012-09-07T16:33:12Z","timestamp":1347035592000},"page":"436-441","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Primary and secondary restorative proctocolectomy for familial adenomatous polyposis: complications and long\u2010term bowel function"],"prefix":"10.1111","volume":"15","author":[{"given":"S.","family":"B\u00fclow","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"H\u00f8jen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Buntzen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. 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