Document Detail

Motility of the small intestine after proctocolectomy and ileal pouch-anal anastomosis.
MedLine Citation:
PMID:  3977439     Owner:  NLM     Status:  MEDLINE    
Though the mechanisms of continence after proctocolectomy and ileal pouch-anal anastomosis have been studied, functions of the small intestine have received little attention. However, frequent stools and urgency plague some patients who are otherwise quite continent. Motility of the jejunum and ileum was assessed in eight patients with ulcerative colitis who were studied 4 to 24 months after proctocolectomy and ileal pouch-anal anastomosis; these findings were compared to those in six healthy volunteers. Continuous manometric recordings from the small bowel were obtained in both groups for 16 to 23 hours of fasting; postprandial recordings were made for 6 hours following a mixed meal (800 kcal, 20% protein, 40% fat, 40% carbohydrate) in the ileoanal patients. The duration, velocity of propagation, and periodicity of the migrating motor complex did not differ between the groups (P greater than 0.05). Discrete bursts of clustered contractions were recorded from all of the controls and in five of eight patients. Likewise, we recorded from all controls and five of eight patients large amplitude, prolonged waves of pressure which propagated distally. However, in controls these large amplitude waves were confined to the terminal ileum, but in patients these were detected in the jejunoileum, up to 125 cm proximal to the ileal pouch. We conclude that jejunoileal motility is not greatly altered by proctocolectomy with ileal pouch-anal anastomosis. However, the appearance of the large amplitude, rapidly propagating waves in the proximal jejunoileum after operation may be a response to increased storage within and distention of the distal bowel.
S J Stryker; T J Borody; S F Phillips; K A Kelly; R R Dozois; R W Beart
Related Documents :
3656029 - A ten-year experience with the pediatric kock pouch.
15719189 - Colonic j-pouch-anal anastomosis for rectal cancer: a prospective, randomized study com...
18395919 - Diagnosis and treatment of gardner syndrome with gastric polyposis: a case report and r...
7032489 - The treatment of second degree haemorrhoids by injection, rubber band ligation, maximal...
18545879 - Videoanoscope-assisted stapled haemorrhoidopexy: analysis of 18 patients.
7813349 - Lateral sphincterotomy compared with anal advancement flap for chronic anal fissure.
17283569 - Antiadhesive effect of the mixed solution of sodium hyaluronate and sodium carboxymethy...
8402019 - Endourological treatment of ureteric injuries.
20709299 - Rehabilitation outcomes of stroke patients treated with tissue plasminogen activator.
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Annals of surgery     Volume:  201     ISSN:  0003-4932     ISO Abbreviation:  Ann. Surg.     Publication Date:  1985 Mar 
Date Detail:
Created Date:  1985-04-02     Completed Date:  1985-04-02     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372354     Medline TA:  Ann Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  351-6     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Anal Canal / surgery*
Colitis, Ulcerative / surgery*
Colon / surgery*
Gastrointestinal Motility*
Ileum / surgery*
Intestine, Small*
Middle Aged
Muscle Contraction
Rectum / surgery*
Time Factors
Grant Support

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

Previous Document:  Peritoneal approach to prosthetic mesh repair of paraostomy hernias.
Next Document:  Effects of superoxide dismutase and allopurinol on the survival of acute island skin flaps.