Rectal Cancer
Conditions
Keywords
J pouch, colorectal, rectal cancer, coloplasty
Brief summary
The investigators hypothesis is that the patients who receive a side to end anastomosis have bowel outcome and quality of life that is equivalent to those who receive a J pouch.
Detailed description
The side to end anastomosis has become popular in recent years as it is technically simple to construct. The difference between the Baker type(side to end) of anastomosis and the J pouch, is that no formal pouch is constructed in the side to end. It has one staple line and the anastomosis. The investigators hypothesis is that the patients who receive a side to end anastomosis have bowel outcome and quality of life that is equivalent to those who receive a J pouch.
Interventions
Comparing J pouch, side to end coloanal surgery
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients with distal rectal cancers who will be having an abdominal proctocolectomy with a low colorectal anastomosis within 4 cm of the dentate line or a coloanal anastomosis will be candidates for this study. 2. No evidence of distant metastatsis -
Exclusion criteria
Stage IV rectal cancer 1. History of radiation to the pelvis ( eg. for uterine or prostatic cancer) 2. Evidence of synchronus or metachronus disease 3. H/o dementia 4. Prisoners 5. Women who are pregnant 6. History of previous Right Colectomy 7. History of inflammatory bowel disease -
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improved function and capacity of the neorectum. | 2 years from date of surgery |
Countries
United States