Quality of Life in Patients That Undergo J Pouch or Side to End Coloanal Anastomosis for Rectal Cancer

The Cleveland Clinic46 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Rectal Cancer

Interventions

J PouchPROCEDURE

Comparing J pouch, side to end coloanal surgery

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

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 -

Locations (1)

Cleveland Clinic

Cleveland, Ohio, United States

Outcomes

Primary Outcomes

Improved function and capacity of the neorectum.

Time frame: 2 years from date of surgery

Data from ClinicalTrials.gov

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