MANOMETRIC AND FUNCTIONAL COMPARISON OF ILEAL POUCH ANAL ANASTOMOSIS WITH AND WITHOUT ANAL MANIPULATION

被引：131

作者：

TUCKSON, W ^{[1
]}

LAVERY, I ^{[1
]}

FAZIO, V ^{[1
]}

OAKLEY, J ^{[1
]}

CHURCH, J ^{[1
]}

MILSOM, J ^{[1
]}

机构：

[1] CLEVELAND CLIN,DEPT COLORECTAL SURG,ONE CLIN CTR,9500 EUCLID AVE,CLEVELAND,OH 44106

来源：

AMERICAN JOURNAL OF SURGERY | 1991年 / 161卷 / 01期

关键词：

D O I：

10.1016/0002-9610(91)90366-L

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We report the results of postoperative physiologic and functional evaluation of 153 patients with ileal pouch anal-anastomosis (IPAA). Ninety-nine patients had anal manipulation for either mucosal proctectomy, transanal placement pursestring suture with stapled IPAA, or handsewn IPAA (manipulation). Fifty-four patients had stapled IPAA with anal pursestrings placed transabdominally without mucosectomy (no manipulation). Patients with transabdominal anal pursestring placement and stapled IPAA without mucosectomy had a higher mean maximum anal resting pressure than patients who had endoanal manipulation. This correlates with improved continence and a reduced need to wear a pad. Avoidance of anal manipulation preserves anal canal resting tone and improves the functional result after IPAA.

引用

页码：90 / 96

页数：7

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