| Differences in ano-neorectal physiology of ileoanal and coloanal reconstructions for restorative proctectomy. | |
| | |
MedLine Citation:
|
PMID: 19207698 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: Restorative proctectomy with straight coloanal anastomosis (CAA) and restorative proctocolectomy with ilealpouch-anal anastomosis (IPAA) are options for maintaining bowel integrity after rectal resection. The aim of this study was to compare clinical function and anorectal physiology in patients treated with CAA and IPAA. METHOD: Three-dimensional vector-manometry and neorectal volumetry were performed in straight CAA [53 patients (34 male)] and IPAA [61 patients (39 male)] for ulcerative colitis. Function was assessed using a 14 day incontinence diary. RESULTS: Function was similar in both groups, but neorectal compliance and threshold volumes for sensation, urge and maximum tolerated volume (MTV) were significantly higher after IPAA than after CAA. Mean pressure, vector volume and sphincter symmetry at rest were significant determinants of continence in both groups but squeeze pressure did not correlate significantly with function in either group. Threshold volume, MTV, and compliance were significantly correlated with frequency of defecation in patients with IPAA but not with CAA. CONCLUSION: A strong consistent resting anal sphincter pressure is one determinant of continence after both IPAA and CAA. Squeeze pressures do not influence the functional result. In IPAA but not CAA, the neorectum has a reservoir function which correlates with the postoperative frequency of defaecation. |
| | |
Authors:
|
A D Rink; W Kneist; I Radinski; A Guinot-Barona; H Lang; K H Vestweber |
Related Documents
:
|
15335368 - Anorectal physiology in relation to clinical subgroups of patients with severe constipa... 8325148 - Electroacupuncture reversed the inhibition of intestinal peristalsis induced by intrath... 758698 - An experimental study of the correction of gastroesophageal reflux by gastroplasty. 2382728 - Changes in tone of canine gallbladder measured by an electronic pneumatic barostat. 361218 - Acute cardiac toxicity of antineoplastic agents as the first manifestation of pheochrom... 2757658 - The effect of cibenzoline on myocardial damages in dogs. |
Publication Detail:
|
Type: Comparative Study; Journal Article Date: 2009-02-04 |
Journal Detail:
|
Title: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland Volume: 12 ISSN: 1463-1318 ISO Abbreviation: Colorectal Dis Publication Date: 2010 Apr |
Date Detail:
|
Created Date: 2010-05-07 Completed Date: 2010-08-20 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100883611 Medline TA: Colorectal Dis Country: England |
Other Details:
|
Languages: eng Pagination: 342-50 Citation Subset: IM |
Affiliation:
|
Leverkusen General Hospital, Department of General Surgery, Am Gesundheitspark, Leverkusen, Germany. andreas.rink@ukmainz.de |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Aged, 80 and over Anal Canal / physiology* Colitis, Ulcerative / surgery Defecation / physiology* Fecal Incontinence / etiology Follow-Up Studies Humans Male Manometry Middle Aged Proctocolectomy, Restorative / adverse effects, methods* Recovery of Function* Rectum / physiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Improving communication of uncertainty in the reports of the intergovernmental panel on climate chan...
Next Document: Enhanced recovery in colorectal resections: a systematic review and meta-analysis.