Document Detail

Gastric emptying function after ileal J pouch-anal anastomosis for ulcerative colitis.
MedLine Citation:
PMID:  14694304     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Little is known of the effects on gastric function after ileal J pouch-anal anastomosis (IPAA) for ulcerative colitis. This study aimed to determine whether patients with postoperative high stool frequency after IPAA exhibit impaired gastric function. METHODS: Gastric emptying time (GET) for a solid diet (rice gruel) with the use of a radioisotope method and for a liquid diet (orange juice) with the use of an acetaminophen method were assessed in 36 patients with ulcerative colitis more than 30 months after closure of protective ileostomy. Patients were divided into 2 groups: 18 patients with stool frequency less than 6 per day (group A) and 18 patients with stool frequency more than 7 per day (group B). GET for solid and liquid diets in groups A and B were compared with those in 18 healthy volunteers (group C). We correlated the time of peak blood concentration of acetaminophen (TPBCA) and both individual stool frequency per day and the length of distal ileum removed. RESULTS: GET for the solid diet in groups A and B was not altered by IPAA compared with group C. GET for the liquid diet in groups A and B was slower than in group C (P<.0001). GETs for the liquid diet at 60 minutes or more in group A were slower than in group B (P<.0001); TPBCA was longer in group A than in groups B or C (P<.01). There were inverse correlations between TPBCA and individual stool frequency per day and between TPBCA and length of distal ileum removed (P<.001). CONCLUSIONS: Rapid transit from the stomach of the liquid diet in group B compared with group A may influence high stool frequency after IPAA. Our results suggested that, to obtain an adequate stool frequency after IPAA, the length of distal ileum removal should be less than 15 cm.
Ryouichi Tomita; Shigeru Fujisaki; Katsuhisa Tanjoh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery     Volume:  135     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2003-12-24     Completed Date:  2004-01-21     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  81-6     Citation Subset:  AIM; IM    
Department of Surgery, Nippon Dental University School of Dentistry at Tokyo, Tokyo, Japan.
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MeSH Terms
Acetaminophen / administration & dosage,  blood
Administration, Oral
Anal Canal / surgery*
Anastomosis, Surgical*
Case-Control Studies
Colitis, Ulcerative / physiopathology*,  surgery*
Colonic Pouches*
Gastric Emptying*
Middle Aged
Oryza sativa
Osmolar Concentration
Postoperative Period
Time Factors
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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