[Value of ileorectal anastomosis in the treatment of ulcerative colitis. Clinical and functional results in 16 patients].
Sixteen cases of ulcerative colitis (11 female, 5 male) of the colon, treated by colectomy and ileorectal anastomosis were examined. The average follow-up was 3.6 years. Recto-ileoscopy with histological examination at the follow-up time revealed inflammation of the rectal stump in 6 patients. No cancer or cellular dysplasia could be seen in the present biopsies. The average number of bowel movements during 24 hours was 5.6 (range 3 to 8). Evaluating the anorectal function was made by measuring the resting and squeeze anal canal pressures and by assessing the maximum volume tolerated during distention of a ballon in the rectum. The mean maximum tolerated volume was 178.3 +/- 59.9 ml; the maximum tolerated volumen was less than 150 ml in 5 of 12 patients. There was no significant difference in the maximum of the control group. The maximum resting pressure (100.6 +/- 24.4 cm H2O), (p less than 0.01) squeeze pressure (183.1 +/- 32 cm H2O), (p less than 0.05) and the length of the anal canal 3.07 +/- 1.02 cm (p less than 0.01) were in boths groups significant different. There were no deaths, and no clinical evidence of an anastomotic leak could be found.
D000328:Adult; D003082:Colectomy / Q000379:methods; D003093:Colitis, Ulcerative / Q000601:surgery*; D005242:Fecal Incontinence / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery*; D008297:Male; D008365:Manometry; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D012007:Rectum / Q000601:surgery*; D013536:Suture Techniques
Zur Wertigkeit der ileorektalen Anastomose bei der Behandlung der Colitis ulcerosa. Klinische und funktionelle Ergebnisse bei 16 Patienten.