Proctocolectomy and ileoanal pouch anastomosis without conservation of a rectal muscular cuff

1989 ◽  
Vol 76 (3) ◽  
pp. 273-275 ◽  
Author(s):  
S. Chaussade ◽  
A. Verduron ◽  
M. Hautefeuille ◽  
G. Risleight ◽  
J. Guerre ◽  
...  
1989 ◽  
Vol 82 (7) ◽  
pp. 386-387 ◽  
Author(s):  
R K S Phillips ◽  
J K Ritchie ◽  
P R Hawley

Elective surgery for ulcerative colitis usually involves the removal of the entire large bowel with either a conventional ileostomy or the formation of an ileoanal pouch anastomosis. Seventy patients undergoing a one stage elective total proctocolectomy and ileostomy between 1976 (the first year an ileoanal pouch was carried out in this hospital) and 1986 have been studied. We have confirmed that proctocolectomy and ileostomy for ulcerative colitis is not the trouble free operation many presume it to be when considering the alternative of an ileoanal pouch.


2020 ◽  
Author(s):  
A. L. Lightner ◽  
P. Vaidya ◽  
S. Vogler ◽  
J. McMichael ◽  
X. Jia ◽  
...  

Gut ◽  
1995 ◽  
Vol 37 (2) ◽  
pp. 256-259 ◽  
Author(s):  
E Bruun ◽  
J N Meyer ◽  
J J Rumessen ◽  
E Gudmand-Hoyer

1998 ◽  
Vol 7 (3) ◽  
pp. 175-181 ◽  
Author(s):  
W. R. Schouten

Pouchitis is a major long-term complication of the continent ileostomy as well as the ileoanal pouch anastomosis. When diagnosed on the basis of clinical, endoscopic and histologic features, this syndrome has been demonstrated almost exclusively in patients with ulcerative colitis. The clinical course, the endoscopic findings and the histologic abnormalities resemble those of ulcerative colitis. The association with extra-intestinal manifestations further supports the hypothesis that pouchitis represents ulcerative colitis in the small bowel. All ileal reservoirs show bacterial overgrowth, especially of anaerobes. As a response to this altered intraluminal environment chronic inflammation and incomplete colonic metaplasia occur. The efficiency of metronidazole does suggest that bacteriological factors play an important role in the pathogenesis of pouchitis.


2003 ◽  
Vol 18 (3) ◽  
pp. 276-278 ◽  
Author(s):  
Cesare Hassan ◽  
Angelo Zullo ◽  
Giuseppe Speziale ◽  
Francesca Stella ◽  
Roberto Lorenzetti ◽  
...  

2017 ◽  
Vol 225 (4) ◽  
pp. e14
Author(s):  
Julio F. Leite ◽  
Ana S. Oliveira ◽  
Manuel Rosete ◽  
Antonio C. Manso ◽  
Francisco Portela ◽  
...  

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