[Continence-preserving proctocolectomy using an ileum-pouch-anal anastomosis].
Between 1985 and 1990 restorative proctocolectomy with ileo-anal anastomosis was performed in 19 patients (in 15 cases for ulcerative colitis, in 2 cases for familial adenomatous polyposis and in 2 cases for multiple synchronous colorectal carcinomas). Restoration of intestinal continuity was performed by ileo-anal J-pouch (j-shaped ileal reservoir) by the method of UTSUNOMIYA. Eleven patients were operated upon in a two-stage procedure and 8 patients in a three-stage procedure. There was no mortality and no pouch had to be removed. Mean bowel frequency is 5-6 times during daytime and 0-once during nighttime, a fact which speaks for the excellent quality of life in these patients.
Luder
P J
PJ
Klinik für Viszerale und Transplantationschirurgie, Inselspital Bern.
Lerut
J P
JP
Krähenbühl
L
L
Gertsch
P
P
Huber
A
A
D000293:Adolescent; D000328:Adult; D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods; D003093:Colitis, Ulcerative / Q000523:psychology / Q000601:surgery*; D003110:Colonic Neoplasms / Q000601:surgery; D005242:Fecal Incontinence / Q000517:prevention & control; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011788:Quality of Life
Die kontinenzerhaltende Proktokolektomie mittels ileum-pouch-analer Anastomose.