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- W2061489775 abstract "The comparative benefits and drawbacks of straight coloanal anastomosis (CAA), colonic J-pouch and coloplasty anastomosis after anterior resection are uncertain. Studies published between 1986 and 2005 of colonic J-pouch versus transverse coloplasty or straight CAA were analysed. Endpoints included postoperative complications, and functional and physiological outcomes measured within 6 months, 1 year and 2 years or more after the procedure. A random-effect model was used to aggregate the study endpoints and assess heterogeneity.Thirty-five studies containing 2240 patients (1066 straight CAA, 1050 J-pouch and 124 coloplasty) were included. There was no significant difference in postoperative complications between the three groups. There was a significant reduction in the frequency of defaecation per day by 1.88, 1.35 and 0.74 motions at the three time intervals in the J-pouch group compared with the straight CAA group. Faecal urgency was less prevalent in patients with a J-pouch than those with a straight CAA (odds ratio 0.27 at 6 months or less and 0.21 at 1 year). There was no difference in functional outcome between J-pouch and coloplasty anastomosis.The colonic J-pouch provided functional benefits over straight anastomosis with no increase in postoperative complications. Coloplasty appeared to have similar benefits but further studies are required for validation." @default.
- W2061489775 created "2016-06-24" @default.
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- W2061489775 date "2005-11-04" @default.
- W2061489775 modified "2023-10-13" @default.
- W2061489775 title "Meta-analysis of colonic reservoirs <i>versus</i> straight coloanal anastomosis after anterior resection" @default.
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- W2061489775 doi "https://doi.org/10.1002/bjs.5188" @default.
- W2061489775 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/16273532" @default.
- W2061489775 hasPublicationYear "2005" @default.
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