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DC Field | Value | Language |
---|---|---|
dc.contributor.author | de Silva, H.J. | en_US |
dc.contributor.author | de Angelis, C.P. | en_US |
dc.contributor.author | Soper, N. | en_US |
dc.contributor.author | Kettlewell, M.G. | en_US |
dc.contributor.author | Mortensen, N.J. | en_US |
dc.contributor.author | Jewell, D.P. | en_US |
dc.date.accessioned | 2014-10-29T09:10:12Z | - |
dc.date.available | 2014-10-29T09:10:12Z | - |
dc.date.issued | 1991 | en_US |
dc.identifier.citation | British Journal of Surgery. 1991; 78(9): pp.1039-44 | en_US |
dc.identifier.issn | 0007-1323 (Print) | en_US |
dc.identifier.issn | 1365-2168 (Electronic) | en_US |
dc.identifier.uri | http://repository.kln.ac.lk/handle/123456789/1141 | - |
dc.description | Indexed in MEDLINE | - |
dc.description.abstract | Restorative proctocolectomy and ileal pouch-anal anastomosis (IPAA) has been carried out on 88 patients since 1982. Three different pouch designs (J, S and W) were used. Ten pouches had to be removed. Detailed analysis was performed on 61 patients (J = 23, S = 15, W = 23) whose pouches had been functioning for at least 6 months. There was no significant difference in surgical complications before or after ileostomy closure between pouch designs but the hospital stay was greater after construction of an S pouch (P less than 0.05). There were no significant differences in stool frequency, degree of continence or urgency between the three types. Twelve patients with J pouches required antidiarrhoeal medication compared with only one with S and five with W pouches. Only seven patients with S pouches could defaecate spontaneously compared with 22 with W pouches and all patients with J pouches (P less than 0.001). Twenty-five of 29 patients who had preservation of the anal transition zone had perfect continence compared with 23 of 32 with a mucosal proctectomy (P = n.s.). Pouchitis occurred in 13 patients, all of whom had ulcerative colitis. In a subgroup of 23 patients, pouch evacuation was assessed scintigraphically. There was no difference in pouch capacity or total volume evacuated, but spontaneous evacuation was better in J and W pouches compared with S pouches | en_US |
dc.subject | Ileitis-etiology | - |
dc.subject | Ileitis-physiopathology | - |
dc.subject | Ileitis-radionuclide imaging | - |
dc.subject | Ileum-physiopathology | - |
dc.subject | Ileum-radionuclide imaging | - |
dc.subject | Anal Canal-physiopathology | - |
dc.subject | Anal Canal-radionuclide imaging | - |
dc.subject | Anastomosis, Surgical | - |
dc.subject | Colonic Diseases-surgery | - |
dc.subject | Postoperative Complications-physiopathology | - |
dc.subject | Proctocolectomy, Restorative-methods | - |
dc.subject | Clinical Trial | - |
dc.subject | Controlled Clinical Trial | - |
dc.title | Clinical and functional outcome after restorative proctocolectomy | en_US |
dc.type | Article | en_US |
dc.identifier.department | Medicine | en_US |
Appears in Collections: | Journal/Magazine Articles |
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