Document Detail


Should we preserve the inferior mesenteric artery during sigmoid colectomy?
MedLine Citation:
PMID:  19508489     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ligation of the inferior mesenteric artery (IMA) during sigmoid colectomy may cause sympathetic denervation of the rectal stump. The purpose of our study was to investigate the functional results after sigmoid resection following ligation or preservation of the IMA. We prospectively analysed 44 patients (21 female and 23 male, mean age 60.6 +/- 11.79 years) with sigmoid tumour. Sigmoid colectomy with preservation of the IMA was performed in 21 patients, and ligation of the IMA with sigmoidectomy was carried out in 23 patients. Bowel function follow-up was performed by use of questionnaires: standardized functional questionnaire, constipation-specific, and incontinence scales before, 6 and 12 months after surgery. The quality of life was measured by means of the Fecal Incontinence Quality of Life (FIQL) scale. After sigmoid colectomy with division of the IMA, patients presented with a higher rate of fecal incontinence and increased stool frequency compared with patients after sigmoid resection with preservation of the IMA. Deterioration of FIQL was also observed in patients with ligated IMA. Preservation of the IMA during sigmoid colectomy in selected patients lowers the frequency of postoperative impaired anorectal function.
Authors:
S Dobrowolski; S Ha??; J Kobiela; Z Sledzi??ski
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Publication Detail:
Type:  Journal Article     Date:  2009-06-05
Journal Detail:
Title:  Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society     Volume:  21     ISSN:  1365-2982     ISO Abbreviation:  Neurogastroenterol. Motil.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-12     Completed Date:  2010-01-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9432572     Medline TA:  Neurogastroenterol Motil     Country:  England    
Other Details:
Languages:  eng     Pagination:  1288-e123     Citation Subset:  IM    
Affiliation:
Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk, Gdansk, Poland. sdob@amg.gda.pl
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Colectomy*
Colon, Sigmoid / surgery*
Constipation / epidemiology
Defecation / physiology
Fecal Incontinence / etiology
Female
Follow-Up Studies
Humans
Ligation
Male
Mesenteric Artery, Inferior / surgery*
Middle Aged
Prospective Studies
Questionnaires
Rectum / surgery
Surgical Procedures, Operative

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


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