| Rectal mucosal replacement. | |
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MedLine Citation:
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PMID: 7362295 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Preservation of the rectum in chronic ulcerative colitis or familial polyposis conserves continence at the risk of recurrent disease or malignant change. Replacement of rectal mucosa with a graft of ileum in these benign colonic mucosal diseases conserves fecal continence without the threat of continuing disease or the development of carcinoma. Rectal mucosal replacement with construction of a rectal reservoir includes total colectomy, removal of the rectal mucosa-submucosa and its replacement with an ileal graft. A rectal reservoir is constructed when intestinal continuity is restored. Twenty-nine patients have undergone rectal mucosal replacement; 12 for familial polyposis and 17 for ulcerative colitis. Twenty-five patients have had intestinal continuity restored. Patients have been followed from three months to seven years after the restoration of intestinal continuity. Twenty-three patients have a satisfactory result. Fecal continence has been preserved. Patients pass an average of six stools in a 24 hour period. |
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Authors:
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D A Peck |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of surgery Volume: 191 ISSN: 0003-4932 ISO Abbreviation: Ann. Surg. Publication Date: 1980 Mar |
Date Detail:
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Created Date: 1980-05-14 Completed Date: 1980-05-14 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 0372354 Medline TA: Ann Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 294-303 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Child Colectomy Colitis, Ulcerative / surgery* Fecal Incontinence / etiology Female Humans Ileostomy Ileum / transplantation Intestinal Mucosa / transplantation* Intestinal Polyps / genetics, surgery* Male Middle Aged Postoperative Complications / etiology Rectal Neoplasms / surgery* Rectum / surgery* Transplantation, Autologous |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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