Document Detail

The critical level for preservation of continence in the ileoanal anastomosis.
MedLine Citation:
PMID:  4087095     Owner:  NLM     Status:  MEDLINE    
Mucosal proctectomy with ileoanal anastomosis was performed for 90 patients with ulcerative colitis or polyposis over the past 18 years. In three, the anastomosis was at the dentate line. All three had varying degrees of soilage necessitating permanent ileostomy in one. For 12 patients with the anastomosis 1.0 cm proximal to the top of the columns, all were totally continent, but six experienced recurrent disease. For 75 in the third group, the anastomosis was at the top of the columns. Five await ileostomy closure. Of the other 70, none experienced recurrent disease and three have mild nighttime soilage, two of which are less than 1 year following operation. We recommend that the transitional epithelium of the anorectal columns be preserved.
L W Martin; A M Torres; J E Fischer; F Alexander
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  20     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1985 Dec 
Date Detail:
Created Date:  1986-02-28     Completed Date:  1986-02-28     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  664-7     Citation Subset:  IM    
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MeSH Terms
Anal Canal / anatomy & histology,  surgery*
Colitis, Ulcerative / surgery*
Ileum / surgery*
Intestinal Mucosa / surgery
Intestinal Polyps / surgery*
Rectum / anatomy & histology

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