[The continent ileostomy--indication and results].
Proctocolectomy with conventional ileostomy cures patients with severe ulcerative colitis, however ileostomy appliances had to be worn for the rest of their lives. The continent ileostomy as devised by Kock provides the patient with an intraabdominal ileal reservoir and a valve constructed by invaginating the efferent ileal segment into the reservoir. The patient empties his reservoir 2 to 3 times a day by inserting a catheter through the valve. Our experience with 45 patients is reported. In most cases the continent ileostomy was constructed as a second procedure after proctocolectomy. The construction of a continent ileostomy as a secondary procedure can be recommended in patients with proctocolectomy. It offers patients a life situation differing only insignificantly from that of normal persons.
D000293:Adolescent; D000328:Adult; D000368:Aged; D003082:Colectomy; D003093:Colitis, Ulcerative / Q000601:surgery; D003110:Colonic Neoplasms / Q000601:surgery; D003424:Crohn Disease / Q000601:surgery; D005242:Fecal Incontinence / Q000517:prevention & control*; D005260:Female; D005736:Gardner Syndrome / Q000601:surgery; D006801:Humans; D007081:Ileostomy / Q000379:methods*; D008297:Male; D008365:Manometry; D008875:Middle Aged; D011182:Postoperative Care; D011183:Postoperative Complications / Q000517:prevention & control; D011788:Quality of Life; D012086:Reoperation; D013536:Suture Techniques
Die kontinente Ileostomie--Indikation und Resultate.