Document Detail

Evacuation pouchography in the evaluation of ileoanal reservoir function.
MedLine Citation:
PMID:  6851796     Owner:  NLM     Status:  MEDLINE    
Thirty four patients with restorative proctocolectomy and ileoanal pelvic reservoirs were studied by "evacuation pouchography" to determine why only some patients could evacuate spontaneously. The 50 per cent who were able had a significantly shorter distal segment (P less than 0.02) of mean length (8 +/- 3 cm) that filled on straining, compared with those who had to use a catheter to empty the pouch, in whom the distal segment was longer (mean 11 +/- 4 cm) and often failed to fill on straining. The longer the distal segment, the more likely it was to be angulated, causing difficulty in passage of the catheter with possible ulceration and stenosis from minor trauma. Stricturing in the distal segment was associated with minor nocturnal leakage. A short distal segment is recommended to allow spontaneous evacuation and avoid the risks of repeated catheterization.
M Pescatori; A Manhire; C I Bartram
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  26     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  1983 Jun 
Date Detail:
Created Date:  1983-07-29     Completed Date:  1983-07-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  365-8     Citation Subset:  IM    
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MeSH Terms
Anal Canal / radiography,  surgery*
Colectomy / adverse effects
Constipation / etiology,  radiography
Fecal Incontinence / etiology,  radiography
Ileum / radiography,  surgery*
Middle Aged

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