Reasons for Failure to Construct the Colonic J-Pouch. What Can Be Done to Improve the Size of the Neorectal Reservoir Should It Occur?

Abstract

Seven factors have been identified which may result in the failure to construct a neorectal reservoir after rectal resection and coloanal anastomosis. This may occur in a sizable minority of patients. The introduction of coloplasty pouch-anal anastomosis has resulted in a significant improvement in this failure rate.