| Surgical load and long-term outcome for patients with Kock continent ileostomy. | |
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MedLine Citation:
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PMID: 17784871 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The aim of the study was to evaluate the results of Kock continent ileostomy (CI) during the same period when ileal pouch-anal anastomosis was the preferred operation for patients with ulcerative colitis (UC) or familial adenomatous polyposis (FAP). METHOD: During the period 1983-2002, 50 patients underwent CI. The surgical technique was unchanged during the period. Follow-up included all patients. Forty-eight patients had UC, two of these had the diagnosis later changed to Crohn's disease and two had FAP. RESULTS: Twenty-two patients had 38 reoperations, four (8%) of whom had the pouch removed. The main causes for reoperation included leakage and difficulty in intubation due to sliding of the nipple valve (42%), fistula formation (29%) and stenosis (21%). Seventeen (45%) underwent a revision of the nipple valve and the pouch and nine (24%) a local procedure. The reoperation rate was higher among patients having a conventional ileostomy converted to CI than among those having CI. As a primary procedure (P = 0.016). The risk of a second reoperation was higher for those reoperated within the first year after having a CI, than for those reoperated later (P = 0.007). CONCLUSIONS: The reoperation rate of patients with CI is high but the removal rate of the pouch is low and is not associated with a high rate of revision. CI is a good alternative to conventional ileostomy in patients not suitable for restorative proctocolectomy or where this procedure has failed. |
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Authors:
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H H Wasmuth; M Svinsås; G Tranø; A Rydning; B H Endreseth; A Wibe; H E Myrvold |
Publication Detail:
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Type: Journal Article Date: 2007-09-03 |
Journal Detail:
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Title: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland Volume: 9 ISSN: 1462-8910 ISO Abbreviation: Colorectal Dis Publication Date: 2007 Oct |
Date Detail:
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Created Date: 2007-09-14 Completed Date: 2008-01-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100883611 Medline TA: Colorectal Dis Country: England |
Other Details:
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Languages: eng Pagination: 713-7 Citation Subset: IM |
Affiliation:
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Department of Surgery, St. Olavs Hospital HF, University Hospital of Trondheim, Trondheim, Norway. hans.wasmuth@stolav.no |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adenomatous Polyposis Coli
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surgery* Colitis, Ulcerative / surgery* Colonic Pouches* Humans Reoperation Treatment Outcome* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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