{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T15:42:24Z","timestamp":1784302944373,"version":"3.55.0"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,3,14]],"date-time":"2014-03-14T00:00:00Z","timestamp":1394755200000},"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":[[2014,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Pull\u2010through with colo\u2010anal sleeve anastomosis may be used as a last resort to avoid permanent diversion in patients with complex rectal conditions. This procedure allows the preservation of intestinal continuity by minimizing the hazards of deep dissection in an inflamed and fibrosed pelvis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A retrospective study was performed of colo\u2010anal pull\u2010through procedures carried out between January 1998 and December 2012 at St Mark's Hospital by one surgeon. Patients were identified from operative logbooks and their case notes were reviewed. Thirty\u2010four patients (21 women) with a median age of 54 (21\u201375) years underwent the pull\u2010through operation for complex rectal conditions involving fistulae and\/or a hostile pelvis as a final attempt to restore intestinal continuity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median length of hospital stay was 7.5 (5\u201345) days. Median follow\u2010up was 23 (3\u201371) months. There was no peri\u2010operative mortality. There were two (6%) outright failures. Early complications occurred in 14 (41%) patients and late complications in 10 (29%). Fistulae recurred in seven (25%) of 28 patients but with further treatment four healed, giving an overall healing rate of 89%. Normal continence was achieved in 19 (79%) of 24 patients who were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In clinically difficult rectal situations the colo\u2010anal pull\u2010through procedure is a suitable salvage procedure to restore intestinal continuity before considering a permanent stoma.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12532","type":"journal-article","created":{"date-parts":[[2013,12,18]],"date-time":"2013-12-18T06:46:50Z","timestamp":1387349210000},"page":"253-258","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Clinical outcomes of colo\u2010anal pull\u2010through procedure for complex rectal conditions"],"prefix":"10.1111","volume":"16","author":[{"given":"D.","family":"Patsouras","sequence":"first","affiliation":[{"name":"Department of Surgery St Mark's Hospital and Academic Institute London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. A.","family":"Yassin","sequence":"additional","affiliation":[{"name":"Department of Surgery St Mark's Hospital and Academic Institute London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. K. S.","family":"Phillips","sequence":"additional","affiliation":[{"name":"Department of Surgery St Mark's Hospital and Academic Institute London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,3,14]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"1007","article-title":"A new surgical technique for the treatment of Hirschsprung's disease","volume":"56","author":"Soave F","year":"1964","journal-title":"Surgery"},{"key":"e_1_2_9_3_1","first-page":"975","article-title":"Transanal technique in low rectal anastomosis","volume":"65","author":"Parks AG","year":"1972","journal-title":"Proc R Soc Med"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800650615"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02552659"},{"key":"e_1_2_9_6_1","first-page":"563","article-title":"Ten years of experience with Parks\u2019 coloanal sleeve anastomosis for the treatment of post\u2010irradiation rectovaginal fistula","volume":"17","author":"Nowacki MP","year":"1991","journal-title":"Eur J Surg Oncol"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198711000-00008"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1998.00725.x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234598"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02554177"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4039"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2007.06869.x"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6458"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800740111"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02555353"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800730413"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02052148"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02053592"},{"key":"e_1_2_9_19_1","first-page":"404","article-title":"Suspension of the right colon permits without exception preservation of the anal sphincter after extensive colectomy of the transverse and left colon (including rectum). Technic\u2010indication\u2010immediate and late results","volume":"60","author":"Deloyers L","year":"1964","journal-title":"Lyon Chir"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800630903"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800810854"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800750335"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcodi.12532","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.12532","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T14:30:32Z","timestamp":1695479432000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.12532"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3,14]]},"references-count":21,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2014,4]]}},"alternative-id":["10.1111\/codi.12532"],"URL":"https:\/\/doi.org\/10.1111\/codi.12532","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,3,14]]},"assertion":[{"value":"2013-08-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-11-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-03-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}