Continence following ileo-anal anastomosis with an antiperistaltic terminal ileal segment.
The procedure of total colectomy, excision of the rectal mucosa and ileo-anal anastomosis with or without a proximal small intestinal reservoir has been described as a method of treating patients with ulcerative colitis and familial polyposis coli. The purpose of constructing a terminal ileal reservoir is to reduce the severe diarrhoea which often occurs following ileo-anal anastomosis. It is suggested that the use of a single antiperistaltic segment for this purpose would reduce the diarrhoea, and provide continence. This has been tested in the dog and the results are reported in this publication.
D001003:Anal Canal / Q000000981:diagnostic imaging / Q000601:surgery*; D000818:Animals; D002933:Cineradiography; D003082:Colectomy / Q000009:adverse effects / Q000379:methods*; D003672:Defecation; D004285:Dogs; D005242:Fecal Incontinence / Q000209:etiology / Q000517:prevention & control*; D007082:Ileum / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008722:Methods; D010528:Peristalsis; D011183:Postoperative Complications