{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T06:22:47Z","timestamp":1776493367121,"version":"3.51.2"},"reference-count":28,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,2,17]],"date-time":"2020-02-17T00:00:00Z","timestamp":1581897600000},"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":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To compare the functional results and quality of life after delayed colo\u2010anal anastomosis (DCAA) or immediate colo\u2010anal anastomosis (ICAA) following redo rectal surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Twenty\u2010six patients with DCAA between 2014 and 2018 were studied retrospectively (group A). Two control groups were used: 26 ICAA after redo surgery (group B) and 52 colo\u2010anal anastomosis (CAA) after anterior resection (group C). Control groups were matched for age, sex, pelvic radiotherapy and time to surgery. Low Anterior Resection Syndrome (LARS) and Gastrointestinal Quality of Life Index (GIQLI) scores were used to assess function and quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The indications for surgery were comparable for groups A and B: anastomotic failure with chronic sepsis (38% <jats:italic>vs<\/jats:italic> 50%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.40), vaginal fistula (42% <jats:italic>vs<\/jats:italic> 42%, <jats:italic>P<\/jats:italic>\u00a0=\u00a01) and urinary fistula (20% <jats:italic>vs<\/jats:italic> 8%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.22) as well as the number of previous abdominal operations (1.3\u00a0\u00b1\u00a00.9 <jats:italic>vs<\/jats:italic> 1.1\u00a0\u00b1\u00a00.6, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.19). The median LARS score in the first 2\u00a0years was 30 [interquartile range (IQR) 14\u201341] for group A, 23 (IQR 0\u201341) for group B and 22 (IQR 11\u201337) for group C. After 2\u00a0years, the median LARS score improved in each group [A, 21 (IQR 11\u201335); B, 18 (IQR 5\u201326); C, 13 (IQR 9\u201320)], but was still high in group A. There was a tendency toward more major LARS in group A than in group B (46% <jats:italic>vs<\/jats:italic> 27%; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.149). There was no difference in the mean GIQLI score between groups A and B (120\u00a0\u00b1\u00a016 <jats:italic>vs<\/jats:italic> 117\u00a0\u00b1\u00a019; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.53) at the end of the follow\u2010up period. Time after stoma closure (&lt;\u00a02\u00a0years) and previous radiotherapy were risk factors for major LARS in all populations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>ICAA should be the procedure of choice where possible in redo surgery as it has better functional outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.14983","type":"journal-article","created":{"date-parts":[[2020,1,24]],"date-time":"2020-01-24T13:04:05Z","timestamp":1579871045000},"page":"885-893","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Long\u2010term functional results and quality of life after redo rectal surgery: delayed versus immediate colo\u2010anal anastomosis"],"prefix":"10.1111","volume":"22","author":[{"given":"H.","family":"Boullenois","sequence":"first","affiliation":[{"name":"Department of Digestive Surgery AP\u2010HP H\u00f4pital Saint Antoine Sorbonne Universit\u00e9 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7601-7464","authenticated-orcid":false,"given":"J. 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