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Clinical results after restorative proctocolectomy without diverting ileostomy for ulcerative colitis.

Abstract：

BACKGROUND AND AIMS:This study evaluated the postoperative complications and clinical results of restorative proctocolectomy without diverting ileostomy for ulcerative colitis. PATIENTS AND METHODS:One hundred selected patients had a hand-sewn ileal J-pouch anal anastomosis with mucosectomy using an ultrasonically activated scalpel. RESULTS:Three patients with pouch-related complications who needed diverting ileostomy. Five patients showed intestinal obstruction; two of the five needed relaparotomy and division of adhesions. The median number of bowel movements per 24 h was 6.5 (2-13) at 3 months and 5 (3-10) at 12 months. The corresponding nightly frequencies were 0 (0-5) at 3 months and 0 (0-3) at 12 months. After 3 months 82% of patients had no soiling during the daytime, and 45% were fully continent day and night. After 3 months 89% had recovered the ability to distinguish flatus from feces. CONCLUSION:Ileal pouch anal anastomosis can be performed safely without diverting ileostomy using an ultrasonically activated scalpel. The postoperative functional result was stabilized 3 months after the operation.

journal_name

Int J Colorectal Dis

journal_title

International journal of colorectal disease

authors

Ikeuchi H,Shoji Y,Kusunoki M,Yanagi H,Noda M,Yamamura T

doi

10.1007/s00384-003-0538-4

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

234-8

issue

3

eissn

0179-1958

issn

1432-1262

journal_volume

19

pub_type

杂志文章

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