Document Detail


Postoperative defecatory function of an ileal pouch-anal anastomosis after a restorative proctocolectomy for ulcerative colitis: evaluation using fecoflowmetry.
MedLine Citation:
PMID:  22216697     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
An ileal pouch is usually reconstructed as an alternative to a neorectum after a total proctocolectomy for ulcerative colitis (UC). However, the real defecatory function of an ileal pouch is uncertain. This study was designed to analyze the functional and clinical outcomes after a proctocolectomy and ileal pouch-anal anastomosis (IPAA) for UC using fecoflowmetry (FFM). Sixteen patients who underwent IPAA for UC between 1990 and 2005 were studied. They were evaluated by FFM, together with Kelly's clinical score (KCS), and anorectal manometric assessments were also performed. FFM showed that the fecoflow pattern (FFP) of 14 patients (87%) was the block type and of 2 patients (13%) was the segmental type. The clinical score and tolerance volume showed no improvement 1 year or more after IPAA. However, the value of the maximum fecal stream flow rate (Fmax) improved with time. FFM shows that the defecatory function improved after IPAA, and it may therefore contribute to a good long-term outcome after the surgery.
Authors:
Yasuo Kobayashi; Tsuneo Iiai; Minoru Yagi; Haruhiko Okamoto; Tatsuo Tani; Katsuyoshi Hatakeyama
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International surgery     Volume:  96     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    2011 Jul-Sep
Date Detail:
Created Date:  2012-01-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  201-6     Citation Subset:  IM    
Affiliation:
Department of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan. yasuokobayashi@yoshida-h.or.jp
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