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 |