Water-soluble contrast pouchography--technique and findings in 85 patients.
A simple and safe technique for examining the ileal pouch in the post-operative period is described, and the findings in 85 patients reviewed. Extravasation from the ileo-anal anastomosis was seen in 10/85 (11%). In 14/85 (16%) the lateral view of the filled pouch showed a presacral space > 4 cm, which in 10 (71%) was due to a significant abnormality: six having an anastomotic leak with presacral abscess, two a large presacral haematoma, and two an abscess without anastomotic leak. Pouchography is recommended as a routine examination prior to closure of the covering ileostomy.
Department of Radiology, Middlesex Hospital, London.
I M
IM
Kelly
C I
CI
Bartram
R J
RJ
Nicholls
D000293:Adolescent; D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000000981:diagnostic imaging*; D003287:Contrast Media; D006801:Humans; D007082:Ileum / Q000000981:diagnostic imaging*; D008875:Middle Aged; D011182:Postoperative Care; D016737:Proctocolectomy, Restorative; D011859:Radiography
D003287:Contrast Media