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oai:repisalud.isciii.es:20.500.12105/235862024-11-28T22:17:43Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967
Repisalud author Segura-Sampedro, Juan José author Morales-Soriano, Rafael author Rodríguez-Pino, José Carlos author Pineño-Flores, Cristina author Craus-Miguel, Andrea 2024-10-09T06:33:32Z 2024-10-09T06:33:32Z 2023-08-26 Segura-Sampedro JJ, Morales-Soriano R, Rodríguez-Pino JC, Pineño Flores C, Craus-Miguel A. Antiperistaltic Transverse Coloplasty: A Salvage Procedure in Extensive Bowel and Colorectal Resections to Avoid Intestinal Failure. Ann Surg Oncol. 2023 Aug 26. 10.1245/s10434-023-14165-0 1534-4681 Annals of surgical oncology https://hdl.handle.net/20.500.13003/19357 37626252 L2025085262 2-s2.0-85168657234 https://hdl.handle.net/20.500.12105/23586 1064749900002 Introduction: After extensive small and colon resections, quality of life can be affected. We propose the antiperistaltic transverse coloplasty as a solution that allows for preservation of the transverse colon after both right and left colectomies while achieving a tension-free colorectal anastomosis slowing the transit and increasing the absorption time, resulting in better stool consistency and quality of life compared with an ileorectal anastomosis. Methods: This technique was performed in a 41-year-old woman with Goblet cell adenocarcinoma of the appendix with peritoneal metastasis. The transverse colon is rotated anticlockwise over the axis of the middle colic vessels toward the left parietocolic flank and relocated to the usual position of the descending colon. Results: After 1 year of follow-up, the patient led a normal life without parenteral nutrition with five bowel movements per day and a weight gain of 15%. Conclusions: The use of an antiperistaltic transverse coloplasty may be worthwhile to perform in cases of extensive bowel resections during cytoreductive surgery leading to short-bowel syndrome to avoid a permanent stoma or intestinal failure and improve patient outcomes. eng Antiperistaltic Transverse Coloplasty: A Salvage Procedure in Extensive Bowel and Colorectal Resections to Avoid Intestinal Failure research article