Comparison between stapled and hand-sewn ileal pouch-anal anastomosis in familial adenomatous polyposis patients showed that hand-sewn anastomosis was associated with better overall survival. The stapled group had higher rates of adenoma in the remnant rectum or anal transitional zone, metachronous rectal cancer, and mortality. Cox regression analysis confirmed the negative impact of stapled anastomosis on overall survival. Hand-sewn ileal pouch-anal anastomosis is recommended for improved prognosis in familial adenomatous polyposis patients.
Journal Article by Tatsuta K, Sakata M (…) Takeuchi H et 8 al. in Int J Colorectal Dis
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