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Ghahramani, Leila, Yazdani, Saeed, Derakhshani, Saeed, Rezaianzadeh, Abbas, Jalli, Reza, Geramizadeh, Bita, Safarpour, Ali Reza, Rahimikazerooni, Salar, Hosseini, Seyed Vahid. (1392). Interposition of Ileal J-Pouch for Rectum Reconstruction in Dog. سامانه مدیریت نشریات علمی, 39(2), 117-122.
Leila Ghahramani; Saeed Yazdani; Saeed Derakhshani; Abbas Rezaianzadeh; Reza Jalli; Bita Geramizadeh; Ali Reza Safarpour; Salar Rahimikazerooni; Seyed Vahid Hosseini. "Interposition of Ileal J-Pouch for Rectum Reconstruction in Dog". سامانه مدیریت نشریات علمی, 39, 2, 1392, 117-122.
Ghahramani, Leila, Yazdani, Saeed, Derakhshani, Saeed, Rezaianzadeh, Abbas, Jalli, Reza, Geramizadeh, Bita, Safarpour, Ali Reza, Rahimikazerooni, Salar, Hosseini, Seyed Vahid. (1392). 'Interposition of Ileal J-Pouch for Rectum Reconstruction in Dog', سامانه مدیریت نشریات علمی, 39(2), pp. 117-122.
Ghahramani, Leila, Yazdani, Saeed, Derakhshani, Saeed, Rezaianzadeh, Abbas, Jalli, Reza, Geramizadeh, Bita, Safarpour, Ali Reza, Rahimikazerooni, Salar, Hosseini, Seyed Vahid. Interposition of Ileal J-Pouch for Rectum Reconstruction in Dog. سامانه مدیریت نشریات علمی, 1392; 39(2): 117-122.

Interposition of Ileal J-Pouch for Rectum Reconstruction in Dog

Iranian Journal of Medical Sciences
مقاله 5، دوره 39، شماره 2، خرداد 2014، صفحه 117-122    اصل مقاله (832.57 K)
نوع مقاله: Original Article(s)
نویسندگان
Leila Ghahramani1؛ Saeed Yazdani1؛ Saeed Derakhshani2؛ Abbas Rezaianzadeh* 3؛ Reza Jalli4؛ Bita Geramizadeh5؛ Ali Reza Safarpour1؛ Salar Rahimikazerooni1؛ Seyed Vahid Hosseini1
1Colorectal Research Center, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
2Department of General Surgery, Chamran Hospital, Tehran, Iran
3Research Center for Health Sciences, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
4Department of Radiology, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
5Department of Pathology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
چکیده
Background: The gold standard of the management of rectal cancer in the middle and lower parts is low anterior resection with coloanal anastomosis. About 50% of the patients undergoing this procedure might experience some complications because of the low capacity of the neorectum. The aim of this study was to evaluate ileal J-pouch interposition as a neorectum between the anal canal and the remaining colon in comparison to coloanal anastomosis and transverse coloplasty. Methods: Twelve dogs, weighing 23-27 kg, were divided into three groups. After laparotomy, the volume of the primary rectum was measured so that it could be compared with that of the neorectum at the end of the study. After rectal resection in Group A, the colon was directly anastomosed to the anus. In Group B, a 5-cm longitudinal incision was made 2 cm proximal to the anastomosis and was sutured transversely (coloplasty). In Group C, a 5-cm ileal J-pouch was interposed between the colon and anus. After 8 weeks, the neorectum was evaluated for volume, radiology, and pathology.Results: All the samples were alive until the end of the study. The healing of the anastomotic lines was acceptable (pathologically) in all. The mean volume expansion was 20.9% in Group A, 21.7% in Group B, and 118.2% in Group C, with the latter being significantly higher than that of the other groups (P=0.03). Colon J-pouch and coloplasty after proctectomy in some situations have not been performable. This study evaluated the performance of ileal J-pouch interposition. Conclusion: This study showed that ileal J-pouch interposition might produce an acceptable reservoir function and that it seems feasible and safe in selected cases.
کلیدواژه‌ها
Rectum؛ Ileal pouch؛ Reconstruction
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