The endorectal pull-through for the management of ulcerative colitis in children and adults.

Abstract:

:Between June 1977 and November 1981, 26 children and adults with ulcerative colitis have undergone a total colectomy, an endorectal dissection of the rectal mucosa, and an ileoanostomy. A combined abdominoperineal approach was used to perform the operation, and the mucosal-submucosal rectal tube was dissected out intact from the abdominal approach. Every patient survived the operation and showed marked clinical improvement presumably due to resection of the diseased colon. Three patients developed intestinal obstruction that was successfully treated with an enterolysis. A rectal cuff abscess and a retroperitoneal abscess were the only other complications. The postoperative stooling pattern of each patient was obtained through detailed interviews. All the patients were continent during the day and at night one month after surgery. Twenty-two patients had a median stool frequency of seven per 24 hours one month after surgery. At one year, the average number of stools was seven per day. Six patients experienced a stool frequency of seven per 24 hours two years after surgery. The results with this series of patients had encouraged the authors to continue to recommend this approach to children and adults with ulcerative colitis, since it offers an alternative lifestyle that is more attractive to certain patients than the presence of an abdominal stoma.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Coran AG,Sarahan TM,Dent TL,Fiddian-Green R,Wesley JR,Jordan FT

subject

Has Abstract

pub_date

1983-01-01 00:00:00

pages

99-105

issue

1

eissn

0003-4932

issn

1528-1140

journal_volume

197

pub_type

杂志文章
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    pub_type: 杂志文章

    doi:10.1097/00000658-199906000-00003

    authors: Levy MS,Sorrels CW,Wagner CW,Jackson RJ,Barnes RW,Smith SD

    更新日期:1999-06-01 00:00:00

  • Management of external gastrointestinal fistulas.

    abstract::We analyzed the course of 186 patients with external gastrointestinal fistulas treated at the University of California Medical Center, San Francisco from 1968 to 1977. There were 82 patients in the earlier group (1968-1971) and 104 patients in the later group (1972-1977). The groups differed in that 35% of patients in...

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    pub_type: 杂志文章

    doi:10.1097/00000658-197810000-00003

    authors: Reber HA,Roberts C,Way LW,Dunphy JE

    更新日期:1978-10-01 00:00:00

  • Cholecystokinin/Cholecystokinin-1 receptor-mediated peripheral activation of the afferent vagus by enteral nutrients attenuates inflammation in rats.

    abstract:OBJECTIVE:The current study investigates activation of the nutritional anti-inflammatory pathway by lipid-rich nutrition. BACKGROUND:Enteral nutrition activates humoral and neural pathways to regulate food intake and sustain energy balance. Recently, we demonstrated that enteral nutrition and in particular lipid-rich ...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3181dae411

    authors: Lubbers T,de Haan JJ,Luyer MD,Verbaeys I,Hadfoune M,Dejong CH,Buurman WA,Greve JW

    更新日期:2010-08-01 00:00:00

  • Studies in fetal wound healing. V. A prolonged presence of hyaluronic acid characterizes fetal wound fluid.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199104000-00003

    authors: Longaker MT,Chiu ES,Adzick NS,Stern M,Harrison MR,Stern R

    更新日期:1991-04-01 00:00:00

  • Retained and recurrent bile duct stones. Surgical or nonsurgical removal?

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198102000-00004

    authors: Girard RM,Legros G

    更新日期:1981-02-01 00:00:00

  • Human tissue reaction to sutures.

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    pub_type: 杂志文章

    doi:10.1097/00000658-197502000-00003

    authors: Postlethwait RW,Willigan DA,Ulin AW

    更新日期:1975-02-01 00:00:00

  • Detrimental effects of removing end-expiratory pressure prior to endotracheal extubation.

    abstract::Patients recovering from acute respiratory insufficiency are usually not extubated until they can ventilate adequately while breathing spontaneously at ambient end-expiratory pressure (T-tube). It is hypothesized that this period of T-tube breathing might be detrimental to gas exchange since the endotracheal tube abol...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198005000-00004

    authors: Annest SJ,Gottlieb M,Paloski WH,Stratton H,Newell JC,Dutton R,Powers SR Jr

    更新日期:1980-05-01 00:00:00

  • Effects of vagotomy and gastrectomy on pancreatic glucagon release.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198107000-00005

    authors: Sudo T,Kawamura M,Umemura H,Shiraha S,Kuyama T

    更新日期:1981-07-01 00:00:00

  • Oxygen as an isolated variable influences resistance to infection.

    abstract::The relative importance of oxygen in relation to resistance to infection was assessed in 24 mongrel dogs. Rectus abdominis musculocutaneous (MC) and corresponding cutaneous random pattern (RP) flaps based at the level of the xiphoid were elevated, replaced, and sutured. Immediately after the surgical procedure, 0.1 ml...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198812000-00018

    authors: Jönsson K,Hunt TK,Mathes SJ

    更新日期:1988-12-01 00:00:00

  • Partial versus total portacaval shunt in alcoholic cirrhosis. Results of a prospective, randomized clinical trial.

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    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000658-199404000-00005

    authors: Sarfeh IJ,Rypins EB

    更新日期:1994-04-01 00:00:00

  • Regional therapy in the management of intrahepatic recurrence after surgery for hepatoma.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198707000-00006

    authors: Sasaki Y,Imaoka S,Fujita M,Miyoshi Y,Ohigashi H,Ishikawa O,Furukawa H,Koyama H,Iwanaga T,Kasugai H

    更新日期:1987-07-01 00:00:00

  • Computed tomographic angiography for the diagnosis of blunt carotid/vertebral artery injury: a note of caution.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3181568cab

    authors: Malhotra AK,Camacho M,Ivatury RR,Davis IC,Komorowski DJ,Leung DA,Grizzard JD,Aboutanos MB,Duane TM,Cockrell C,Wolfe LG,Borchers CT,Martin NR

    更新日期:2007-10-01 00:00:00

  • Current Surgical Management of Pediatric Idiopathic Constipation: A Systematic Review of Published Studies.

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    pub_type: 杂志文章,评审

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/01.sla.0000137138.40116.6c

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    更新日期:2004-09-01 00:00:00

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    journal_title:Annals of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/SLA.0000000000000872

    authors: Lavu H,Sell NM,Carter TI,Winter JM,Maguire DP,Gratch DM,Berman RA,Feil MG,Grunwald Z,Leiby BE,Pequignot EC,Rosato EL,Yeo CJ

    更新日期:2014-09-01 00:00:00

  • Influence of acute epinephrine infusion on endotoxin-induced parameters of heart rate variability: a randomized controlled trial.

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    journal_title:Annals of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/SLA.0b013e3181a40193

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    更新日期:2009-05-01 00:00:00

  • Significant contribution of the portal vein to blood flow through the common bile duct.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

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    更新日期:2012-03-01 00:00:00

  • Smaller Inguinal Hernias are Independent Risk Factors for Developing Chronic Postoperative Inguinal Pain (CPIP): A Registry-based Multivariable Analysis of 57, 999 Patients.

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    pub_type: 杂志文章,多中心研究

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    pub_type: 临床试验,杂志文章,随机对照试验

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  • Hepatic resection.

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    journal_title:Annals of surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00000658-199001000-00001

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    更新日期:1990-01-01 00:00:00

  • Invasive intraductal papillary mucinous carcinomas of the pancreas: predictors of survival and the role of lymph node ratio.

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    pub_type: 杂志文章

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    更新日期:2010-03-01 00:00:00

  • Response to neoadjuvant chemotherapy best predicts survival after curative resection of gastric cancer.

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    pub_type: 临床试验,杂志文章

    doi:10.1097/00000658-199903000-00001

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    更新日期:1999-03-01 00:00:00

  • Hypothermic circulatory arrest for cerebral protection during combined carotid and cardiac surgery in patients with bilateral carotid artery disease.

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    pub_type: 杂志文章

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  • The first 100 liver transplants at UCLA.

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    doi:10.1097/00000658-198705000-00015

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    更新日期:1987-05-01 00:00:00

  • Analysis of the First 100 Patients From the Syrian Civil War Treated in an Israeli District Hospital.

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    authors: Biswas S,Waksman I,Baron S,Fuchs D,Rechnitzer H,Dally N,Kassis S,Hadary A

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