{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T14:32:19Z","timestamp":1696948339093},"reference-count":27,"publisher":"National Library of Serbia","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta chir iugo","ACTA CHIR IUG","ACTA CHIR IUGOSL"],"published-print":{"date-parts":[[2006]]},"abstract":"<jats:p>Purpose: A complication after restorative rectal surgery with a straight anastomosis is low-anterior resection syndrome with a postoperatively deteriorated anorectal function. The colonic J-reservoir is sometimes used with the purpose of reducing these symptoms. An alternative method is to use a simple side-to-end anastomosis or a coloplasty. Material and Methods: Three-hundred fifty seven patients with rectal cancer undergoing total mesorectal excision (TME). Three-hundred (84.0%) received a low anterior resection with primary anastomosis and colo-rectal n=194 (64.6%) or colo-anal anastomosis n=106 (35.3%). A colonic pouch using the descending colon was created in 24 patients and in 75 patients respectively. Surgical results and complications were recorded. Patients were followed with a functional evaluation at 6 and 12 months postoperatively. Results: Patient characteristics in both groups were very similar regarding gender, age, tumor level, and Dukes? stages. A large proportion of the patients received short-term preoperative radiotherapy (72%). There was no significant difference in surgical outcome between the 2 techniques with respect to anastomotic height, perioperative blood loss, , postoperative complications, reoperations, hospital stay or pelvic sepsis rates except the anastomotic stricture rate in the colonic J-Pouch group after coloanal anastomosis (p&lt;0.02). Conclusions: These data show that either a colonic Jpouch or a straight anastomosis performed on the descending colon in low-anterior resection with TME are methods that can be used with similar expected surgical and functional results.<\/jats:p>","DOI":"10.2298\/aci0602109t","type":"journal-article","created":{"date-parts":[[2008,11,28]],"date-time":"2008-11-28T15:06:52Z","timestamp":1227884812000},"page":"109-112","source":"Crossref","is-referenced-by-count":4,"title":["Straight and colonic J-pouch reconstruction after low anterior resection"],"prefix":"10.2298","volume":"53","author":[{"given":"B.","family":"Teleky","sequence":"first","affiliation":[{"name":"University Clinic of Surgery, General Hospital, Vienna"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Jech","sequence":"additional","affiliation":[{"name":"University Clinic of Surgery, General Hospital, Vienna"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith","family":"Karner-Hanusch","sequence":"additional","affiliation":[{"name":"University Clinic of Surgery, General Hospital, Vienna"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irene","family":"Kuehrer","sequence":"additional","affiliation":[{"name":"University Clinic of Surgery, General Hospital, Vienna"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"G\u00f6tzinger","sequence":"additional","affiliation":[{"name":"University Clinic of Surgery, General Hospital, Vienna"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Herbst","sequence":"additional","affiliation":[{"name":"University Clinic of Surgery, General Hospital, Vienna"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Jakesz","sequence":"additional","affiliation":[{"name":"University Clinic of Surgery, General Hospital, Vienna"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1078","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800821010"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02055598"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800730223"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800730222"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199607000-00009"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800820511"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1007\/BF02054224"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800750409"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800781208"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1007\/BF02054686"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1007\/BF02070703"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6117-0"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237098"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200112000-00009"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200207000-00009"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199704033361402"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1998.00615.x"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1007\/BF02050425"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1080\/003655202760230865"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800841030"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1999.01224.x"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1007\/BF02238571"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234131"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6264-3"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5188"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6175-3"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000080824.10891.e1"}],"container-title":["Acta chirurgica Iugoslavica"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,26]],"date-time":"2023-05-26T12:06:58Z","timestamp":1685102818000},"score":1,"resource":{"primary":{"URL":"https:\/\/doiserbia.nb.rs\/Article.aspx?ID=0354-950X0602109T"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006]]},"references-count":27,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2006]]}},"URL":"https:\/\/doi.org\/10.2298\/aci0602109t","relation":{},"ISSN":["0354-950X","2406-0887"],"issn-type":[{"value":"0354-950X","type":"print"},{"value":"2406-0887","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006]]}}}