STAPLED ILEAL POUCH-ANAL ANASTOMOSIS WITH RESECTION OF THE ANAL TRANSITION ZONE

被引：22

作者：

BRAUN, J

TREUTNER, KH

SCHUMPELICK, V

机构：

[1] Department of Surgery, Medical Faculty, Rhenish-Westphalian Technical University, Aachen, D-52057

来源：

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | 1995年 / 10卷 / 03期

关键词：

D O I：

10.1007/BF00298536

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

We assessed the outcome of stapled ileal J-pouch-anal anastomosis with intersphincteric resection of the anal transition zone in 83 consecutive patients with ulcerative colitis (a = 71) or familial adenomatous polyposis (n = 12). There was no postoperative mortality. Two patients (2.4%) required permanent ileostomy for manifestation of unsuspected Crohn's disease. Major postoperative complications consisted of pelvic sepsis, anastomotic leakage, and pancreatitis with 3.6% each. Both, frequency of bowel movements and degree of continence improved with time. Two years after takedown of the diverting ileostomy 45 patients with ulcerative colitis and 12 with familial adenomatous polyposis were assessed with a frequency of bowel movements of 5.6 +/- 2 and 3.2 +/- 1 per 24 h, respectively (P < 0.05). At this time none of them had major daytime or nighttime incontinence. Minor incontinence was reported by 9% and 14% of the patients with ulcerative colitis during day-time and night-time, respectively. The patients with familial adenomatous polyposis demonstrated better results, without day-time seepage and intermittent nocturnal seepage in only 9%. It is concluded that direct ileal J-pouch-anal anastomosis is a safe procedure with excellent functional results for patients with ulcerative colitis and familial adenomatous polyposis.

引用

页码：142 / 147

页数：6

共 36 条

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