التفاصيل البيبلوغرافية
| العنوان: |
Colectomy-proctomucosectomy with S-pouch. |
| المؤلفون: |
Poppen, Bertil, Svenberg, Torgny, Bark, Tor, Sjögren, Berit, Rubio, Carlos, Drakenberg, Bertil, Slezak, Premysl |
| المصدر: |
Diseases of the Colon & Rectum; Jan1992, Vol. 35 Issue 1, p40-47, 8p |
| مستخلص: |
Sixty-nine patients were operated upon in a three-stage procedure. Early complications occurred in 29 percent after colectomy-ileostomy, in 25 percent after proctomucosectomy with ileoanal anastomosis and loop ileostomy, and in 9 percent after closure of loop ileostomy. Only three of these were considered serious. Seventy-one percent of the patients were readmitted into the hospital between the three operations or after the last one. Total hospital stay was 49 days (median); the range was 20 to 345 days. Reconstruction of the reservoir was performed in four patients owing to defecation problems, with satisfying functional results in two patients, while two emptied by catheter. There was no postoperative mortality or pelvic sepsis, and no pouches were excised. Ileostomy was re-established in two patients. At histopathologic reevaluation of colectomy specimens, the diagnosis was changed from ulcerative colitis to Crohn's disease in three patients and to indeterminate colitis in five. Median follow-up was 4.3 years. Continent anal defecation without ileostomy was achieved in 67 patients (97 percent), with 4.1 bowel movements per day and 0.6 per night. Perfect continence was achieved in 55 percent in the daytime and in 43 percent at night. The low rate of reservoirthreatening complications is attributed to the three-stage procedure and the technical details in the surgical procedures. [ABSTRACT FROM AUTHOR] |
|
Copyright of Diseases of the Colon & Rectum is the property of Lippincott Williams & Wilkins and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
