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| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Artículo Open Access |
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Wiley
2025
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| Online Access: | https://onlinelibrary.wiley.com/doi/10.1111/codi.70013 |
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Table of Contents:
- Long‐term bowel function following delayed coloanal anastomosis: Analysis of a multicentric cohort study (GRECCAR) Maxime K. Collard Jean‐Jacques Tuech Charles Sabbagh Amine Souadka Jérome Loriau Eric Rullier Frédéric Marchal Adeline Germain Stéphane Benoist Jean‐Luc Faucheron Gilles Manceau Anne Dubois Anaïs Laforest Isabelle Sourrouille Aurore Protat Diane Mège Zaher Lakkis Michel Prudhomme Simon Derieux Mehdi Ouaissi Aurélien Venara Cécile Brigand Bernard Lelong Karine Pautrat Leon Maggiori Gil Lebreton Philippe Rouanet Marc Pocard Emilie Duchalais Quentin Denost Yann Parc Jérémie H. Lefevre Colorectal Disease AbstractAimAlteration of bowel function after delayed coloanal anastomosis (DCAA) might be a limitation to its utilization. Our aim was to assess the long‐term bowel function of DCAA in a large multicentric cohort.MethodAll patients who underwent DCAA interventions at 29 GRECCAR‐affiliated hospitals between 2010 and 2021 were retrospectively included. Low anterior resection syndrome (LARS) score or confection of a stoma due to poor bowel function was assessed in eligible patients. Good bowel function was defined by the preservation of bowel continuity with no LARS or a minor LARS.ResultsAmong the 385 eligible patients to assess long‐term bowel continuity, 63% (n = 243) responded to the questionnaire or had a definitive stoma because of poor bowel function. After a median follow‐up of 32 months, good bowel function was reported by 60% (n = 146) of patients (with no LARS 36% and minor LARS 24%), whereas 40% of patients (n = 146) had a poor bowel function including major LARS (36%) and definitive stoma due to poor bowel function (4%). No variables tested were predictive of a poor bowel function after DCAA, including a history of pelvic radiotherapy (P = 0.722), salvage DCAA after failure of a previous anastomosis (P = 0.755), presence of a diverting stoma (P = 0.556), occurrence of an anastomotic leakage (P = 0.416) and time interval from the DCAA to the bowel function assessment (P = 0.350).ConclusionsNo LARS or minor LARS was reached for 60% of patients after DCAA. Less than 5% of patients received a definitive stoma due to a poor bowel function. 10.1111/codi.70013 http://creativecommons.org/licenses/by/4.0/