Document Detail

The effect of pregnancy and delivery on the ileal pouch-anal anastomosis functions.
MedLine Citation:
PMID:  2714129     Owner:  NLM     Status:  MEDLINE    
Since 1981, a total of 729 ileal pouch-anal anastomoses have been performed at the Mayo Clinic-affiliated hospitals. Three hundred fifty-four were in women. Twenty of these patients subsequently had at least one successful pregnancy and delivery. Eleven deliveries were vaginal with episiotomy, and nine were cesarean sections. No maternal deaths occurred. One child died of hyaline membrane disease. The frequency of nocturnal stooling increased in the ileal pouch-anal anastomosis patients during pregnancy (P less than .01), and the increase persisted for three months after delivery (P less than .05). In contrast, the frequency of daytime stools, the incidence of incontinence, the consistency of the stool, and the development of perineal seepage or skin irritation were not greatly altered by pregnancy or delivery. Moreover, postpartum pouch function was not influenced by the type of delivery (vaginal vs. cesarean section). In conclusion, pregnancy and delivery are safe in patients with the ileal pouch-anal anastomosis, but they lead to more frequent nocturnal stools. The type of delivery (vaginal vs. cesarean section) does not influence pouch functional outcome.
H Nelson; R R Dozois; K A Kelly; G D Malkasian; B G Wolff; D M Ilstrup
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  32     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  1989 May 
Date Detail:
Created Date:  1989-06-13     Completed Date:  1989-06-13     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  384-8     Citation Subset:  IM    
Department of Surgery, Mayo Clinic, Rochester, Minnesota 55905.
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MeSH Terms
Anal Canal / physiology,  surgery*
Anastomosis, Surgical
Delivery, Obstetric*
Erythema / etiology
Ileum / physiology,  surgery*
Time Factors

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