[Intrapelvic reservoir with direct anal anastomosis].
To reduce the frequency of bowel movements following colectomy and proctomucosectomy today three major types of ileoanal reservoirs are in use: the S-, J- and H-pouch. Approximately 2000 such operations have been performed throughout the world. Although only one postoperative death has been recorded, postoperative morbidity remains high. Our own results as well as a review of the literature confirms: 1) satisfactory sphincter control on continence; 2) retained discrimatory sensitivity; 3) reduction of daily bowel movements 4-7; 4) social rehabilitation. The difficulties of the procedure call for the referral of patients to centers specializing in these techniques.
Herfarth
C
C
Chirurgische Universitätsklinik, Heidelberg.
D011125:Adenomatous Polyposis Coli / Q000601:surgery*; D001003:Anal Canal / Q000601:surgery*; D003093:Colitis, Ulcerative / Q000601:surgery*; D005242:Fecal Incontinence / Q000517:prevention & control*; D006801:Humans; D007082:Ileum / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control*; D013536:Suture Techniques
Das intrapelvine Reservoir mit direkter analer Anastomose.