title: Experience with the endorectal ileal pullthrough with lateral reservoir for ulcerative colitis and polyposis.
abstract: Since 1977, 184 patients with colitis or polyposis underwent colectomy with endorectal ileal pullthrough in two stages with a temporary ileostomy. Five had an S reservoir, three had a J reservoir, and 15 had no reservoir; 97 patients had a lateral reservoir constructed at the second operation and 64 had one constructed at the first operation. Ten patients with no reservoir and one with a J reservoir underwent conversion to a lateral reservoir because of stool frequency. Three patients with an S reservoir and six (3.5%) of 172 patients with a lateral reservoir underwent a permanent ileostomy. Over 65% of complications occurred in the first 50 patients. Late reservoir shortening was necessary in 34 patients. Of the last 110 patients, 107 are functioning well with a mean of six bowel movements per day. A short lateral reservoir (less than 15 cm) constructed at the first operation produces the fewest complications and best results.
authors.affiliation: Department of Surgery, UCLA School of Medicine 90024.
authors.forename: E W
authors.initials: EW
authors.lastname: Fonkalsrud
authors.forename: M
authors.initials: M
authors.lastname: Stelzner
authors.forename: N
authors.initials: N
authors.lastname: McDonald
mesh_terms: D011125:Adenomatous Polyposis Coli / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D002648:Child; D003093:Colitis, Ulcerative / Q000601:surgery*; D003672:Defecation; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery*; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D012007:Rectum / Q000601:surgery; D012086:Reoperation