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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
7
|
| pubmed:dateCreated |
1994-11-3
|
| pubmed:abstractText |
Over a 16-year period 34 patients underwent surgery for idiopathic megarectum or megacolon; 18 had megarectum with or without megasigmoid, one megacolon only and 15 megarectum and total megacolon (nine with a previous colectomy). Ten patients underwent low rectal or anal anastomosis without pouch formation (colodistal proctostomy, eight; coloanal anastomosis, two), eight had colonic pouch-anal anastomosis (J pouch) and 14 had an ileal J pouch after restorative proctocolectomy; one underwent subtotal colectomy with ileorectal anastomosis and one loop ileostomy alone. There was one death, from intestinal obstruction 24 months after operation. Twenty-seven of 32 evaluable patients without a stoma became fully continent following resection and sphincter-saving procedures. Three of 18 had a poor result after resection for megarectum because of recurrent constipation. One of 14 patients became incontinent after restorative proctocolectomy for megacolon and megarectum and in a further four persistent abdominal distension and pain was treated by pouch excision.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jul
|
| pubmed:issn |
0007-1323
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
81
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
1051-3
|
| pubmed:dateRevised |
2005-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:7922062-Adolescent,
pubmed-meshheading:7922062-Adult,
pubmed-meshheading:7922062-Anal Canal,
pubmed-meshheading:7922062-Anastomosis, Surgical,
pubmed-meshheading:7922062-Child,
pubmed-meshheading:7922062-Constipation,
pubmed-meshheading:7922062-Dilatation, Pathologic,
pubmed-meshheading:7922062-Fecal Incontinence,
pubmed-meshheading:7922062-Female,
pubmed-meshheading:7922062-Follow-Up Studies,
pubmed-meshheading:7922062-Humans,
pubmed-meshheading:7922062-Male,
pubmed-meshheading:7922062-Megacolon,
pubmed-meshheading:7922062-Middle Aged,
pubmed-meshheading:7922062-Proctocolectomy, Restorative,
pubmed-meshheading:7922062-Prospective Studies,
pubmed-meshheading:7922062-Rectal Diseases,
pubmed-meshheading:7922062-Rectum,
pubmed-meshheading:7922062-Recurrence
|
| pubmed:year |
1994
|
| pubmed:articleTitle |
Results of anal or low rectal anastomosis and pouch construction for megarectum and megacolon.
|
| pubmed:affiliation |
University Department of Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
|
| pubmed:publicationType |
Journal Article
|