Ileoanal anastomosis and ileoanal canal anastomosis in Japan: comparative retrospective study.
A questionnaire survey of ten institutions in Japan revealed that restorative proctocolectomy accounted for 81.8% of the surgical procedures performed in patients with UC in the last 5 years (1989-1993); ileoanal anastomosis (IAA) and ileo-anal canal anastomosis (IACA) were performed in 63% and 33% of these patients, respectively. Comparison of the two series showed that IACA was technically simpler and yielded better continence, but that it entailed a potential risk of recurrence of the disease in the remaining anal canal mucosa. Although IACA seems to be a useful surgical option for UC, until the long-term outcome of the procedure can be elucidated. It may be better regarded as a very low variation of IRA rather than as an improved technical version of IAA.
Utsunomiya
J
J
Second Department of Surgery, Hyogo College of Medicine, Japan.
Yamamura
T
T
Kusunoki
M
M
Shoji
Y
Y
Horai
T
T
Ikeuchi
H
H
Noda
M
M
Yanagi
H
H
D000328:Adult; D016022:Case-Control Studies; D003093:Colitis, Ulcerative / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D016737:Proctocolectomy, Restorative / Q000379:methods / Q000706:statistics & numerical data; D012189:Retrospective Studies