title: Colo-mucosal proctectomy with ileo-anal anastomosis. The Jamaican experience.
abstract: A total colectomy and a mucosal proctectomy with ileo-anal anastomosis (c-mp-iaa) effectively removes all debilitating, potentially malignant colonic mucosa. Preservation of the anorectal sphincter predictably results in good to excellent anal continence with a low mortality and acceptable morbidity. Since 1983 at the University Hospital of the West Indies (U.H.W.I.), Jamaica, five (5) patients have undergone c-mp-iaa for colonic mucosal disease. All have good to excellent anal continence with an average of 2-6 continent, formed stools per day. There were no operative deaths. The five (5) cases are described and a plea is made for the earlier use of this definitive surgical procedure where indicated.
authors.affiliation: Department of Surgery, U.W.I., Jamaica.
authors.forename: D R
authors.initials: DR
authors.lastname: DuQuesnay
authors.forename: S
authors.initials: S
authors.lastname: Venugopal
authors.forename: P R
authors.initials: PR
authors.lastname: Fletcher
authors.forename: A
authors.initials: A
authors.lastname: McDonald
authors.forename: R
authors.initials: R
authors.lastname: Carpenter
mesh_terms: D000293:Adolescent; D000328:Adult; D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical; D002648:Child; D003108:Colonic Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016737:Proctocolectomy, Restorative / Q000379:methods