There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.
Abstract
<p class="first" id="d2752514e57">A prospective, randomized study of hand-sutured
(group 1, n = 19) and double-stapled
(group 2, n = 21) ileoanal anastomosis was carried out in 40 consecutive patients
during restorative proctocolectomy to compare complications and functional outcome.
Eight patients (42%) in group 1 and 12 (57%) in group 2 had one or more complications.
Four patients in group 1 and five in group 2 developed pelvic sepsis. One stapled
anastomosis had to be converted to a hand-sutured one because of severe anastomotic
stricture. Four patients in group 1 and eight in group 2 had no nighttime evacuations
3 months after surgery and seven patients in group 1 and 11 in group 2 had no nighttime
evacuations six months after surgery. Mucous leakage occurred in two vs five patients
after 6 months in groups 1 and 2, respectively. The mean resting anal pressure decreased
30% in group 1 and 28% in group 2. In conclusion, double-stapled ileoanal anastomosis
does not offer any functional or technical advantage over hand-sutured anastomosis,
but it does leave some of the disease behind.
</p>