We effectively have that with colonic j-pouches and ileal j-pouches. These are both replacements for the rectum made out of part of the colon or part of the ileum. However, the issue is the anal sphincter muscles. If the rectal tumor is too low, then the surgeons can't get adequate margins and preserve the anal sphincter muscles. The anal sphincter muscles are basically what give us all control.
Rectal Cancer @ 43, '08
Clinical: T3,N2a,MX (IIIB)
6 wks XELOX & radiation
LAR, colonic j-pouch, & temp ileo '09
Surgical: ypT3,ypN0,ypMX (0 of 20 nodes)
Ileo Takedown '09