[Reservoir ileorectal anastomosis].
It was established in experimental and clinical studies that creation of reservoir ileorectal anastomosis by standard methods is accompanied by hypotonia, lining deformation and transformation of mucosa: of terminal part of the ileum under the influence of "aggressive" rectal contents. Development of a great number of secretory elements and loss of basic part of resorption structures of small intestine mucosa are accompanied by chronic postcolectomic diarrhea. Method of creation of reservoir ileorectal anastomosis with areflux mechanism was developed for correction of these disorders. Results of experimental studies on 33 dogs and 5 clinical cases demonstrate that the areflux mechanism coordinates motor-evacuatory intestinal function after colectomy and impedes development of specific pathomorphologic changes of mucosa of reservoir ileorectal anastomosis. This is the main condition for repair of fecoformation in patients in remote period after colectomy.
Zherlov
G K
GK
Bashirov
S R
SR
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D000818:Animals; D004285:Dogs; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016737:Proctocolectomy, Restorative; D012007:Rectum / Q000601:surgery*