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Total colectomy with „J”-reservoir for synchronous neoplasia of the large bowel and rectum

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Author(s): Daciana N. Chirilă | Cătălina I. Bungărdean | Tudor R. Pop | Nicolae Constantea

Journal: Human & Veterinary Medicine
ISSN 2066-7655

Volume: 4;
Issue: 2;
Start page: 68;
Date: 2012;
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Keywords: colo-rectal neoplasms | synchronous lesions | total colectomy | „J”-reservoir

ABSTRACT
Objective: we want to present two cases of multiple synchronous neoplasias of the colon and upper rectum admitted in our department,for which a limited excision was not enough. Case presentation: there were two cases for which we performed a total colectomy withileo-rectostomy with „J”-reservoir, avoiding a straight ileo-rectoanastomosis. Results: the patients recovered without complications, with fewbowel emissions per day. Post-surgery recovery was uneventful in both patients. One year after the surgery, the patients experienced two andthree normal bowel motions daily and no episodes of incontinence. Conclusion: the method is good for patients with multiple primary neoplasiasof large bowel and upper rectum and offers a good condition of life.
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