[Ileal pouch in the treatment of ulcerative rectocolitis and familial polyposis. Analysis of morbidity in a series of 30 cases].
Between 1984 and 1989, 30 patients underwent total coloproctectomy with J ileal pouch and ileo-anal anastomosis. They corresponded to 29 cases of ulcerative colitis and one case of familial polyposis. The authors report their own experience and the related morbidity and functional results. There were 23% fistulae, 6.6% pouchitis, 10% stenoses, 8.7% pelvic abscesses, 10% bowel obstructions, 6.6% fistulae after ileostomy closure. Only one pouch had to be removed for severe pouchitis. Functional results were partly related to post-operative complications: 50% of patients had normal continence, 57% at least 6 stools per day, 81% had one stool per night, 15% had soiling. Morbidity is discussed for the various types of complications.
Fabre
J M
JM
Service de Chirurgie C, Hôpital Saint-Eloi, Montpellier.
Marrel
E
E
Balmes
M
M
Domergue
J
J
Boillot
O
O
Pierrugues
R
R
Bories
P
P
Fagot
H
H
Guillon
F
F
Baumel
H
H
D011125:Adenomatous Polyposis Coli / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical; D003093:Colitis, Ulcerative / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D000292:Pelvic Inflammatory Disease; D011183:Postoperative Complications; D012003:Rectal Fistula
Réservoirs iléaux dans le traitement de la rectocolite ulcéro-hémorragique et de la polypose rectocolique familiale. Analyse de morbidité sur une série de trente cas.