Four different ileorectal anastomotic configurations following total colectomy

Ileorectal and ileosigmoid anastomoses are typically performed following total colectomy and subtotal colectomy, respectively. The current literature provides extensive description of more common anastomoses such as after right hemicolectomy or anterior resection. However, there is little focus in t...

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Bibliographic Details
Published in:ANZ journal of surgery 2020-09, Vol.90 (9), p.1588-1591
Main Authors: Jolly, Samantha, Dudi‐Venkata, Nagendra N., Hanna‐Rivero, Nicole, Kroon, Hidde M., Reid, Fiona S. W., Sammour, Tarik
Format: Article
Language:English
Subjects:
Anastomosis
Anastomosis, Surgical
Colectomy
Colorectal surgery
Configurations
Humans
ileum
Ileum - surgery
rectum
Rectum - surgery
sigmoid colon
Surgical outcomes
Surgical techniques
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Summary:Ileorectal and ileosigmoid anastomoses are typically performed following total colectomy and subtotal colectomy, respectively. The current literature provides extensive description of more common anastomoses such as after right hemicolectomy or anterior resection. However, there is little focus in the literature on the ileorectal or ileosigmoid anastomotic technique, despite these anastomoses having a relatively high complication rate. The purpose of the current study is to describe four standardized ileorectal or ileosigmoid anastomotic configurations, with commentary on specific challenges and theoretical advantages and disadvantages of each. Ileorectal and ileosigmoid anastomoses are typically performed following total colectomy and subtotal colectomy, respectively. There is little focus in the literature on ileorectal and ileosigmoid anastomotic technique, despite these anastomoses having a relatively high complication rate. The purpose of the current study is to describe four standardized ileorectal or ileosigmoid anastomotic configurations, with commentary on specific challenges and theoretical advantages and disadvantages of each.
ISSN:1445-1433
1445-2197
DOI:10.1111/ans.15764