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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
5
|
| pubmed:dateCreated |
1993-6-7
|
| pubmed:abstractText |
Many surgeons consider the ileoanal pouch procedure to be the procedure of choice for patients who require surgery for ulcerative colitis and familial adenomatous polyposis. To determine long-term results, 460 patients (mean +/- SD age, 31 +/- 9 years) who underwent the ileoanal pouch procedure from 1980 through 1991 were prospectively observed by computerized registry. The leading indication for operation was ulcerative colitis (n = 382; 83%). A J-shaped reservoir was created in 434 patients (94%). More than 5 years after ileostomy closure, the mean number of bowel movements was 5.8 +/- 2.2, and 13% of patients had leakage. Most patients (94%) were satisfied with their results. Sixteen patients (3.5%) required recreation of a permanent stoma for pouch failure. Complications (major and minor) occurred in 266 patients (58%) and included obstruction (n = 94; 20%), pouch fistula (n = 26; 6%), anastomotic stricture (n = 40; 9%), anastomosis separation (n = 14; 3%), and pouchitis (n = 83; 18%). Modifications in technique and increased operative experience have significantly decreased the incidence of obstruction (P = .05) and pouch-related complications (P = .004). Despite complications, long-term results are acceptable, and patient satisfaction remains high.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
May
|
| pubmed:issn |
0004-0010
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
128
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
500-3; discussion 503-4
|
| pubmed:dateRevised |
2006-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:8489382-Adult,
pubmed-meshheading:8489382-Anastomosis, Surgical,
pubmed-meshheading:8489382-Bacterial Infections,
pubmed-meshheading:8489382-Colectomy,
pubmed-meshheading:8489382-Colitis, Ulcerative,
pubmed-meshheading:8489382-Defecation,
pubmed-meshheading:8489382-Fecal Incontinence,
pubmed-meshheading:8489382-Female,
pubmed-meshheading:8489382-Flatulence,
pubmed-meshheading:8489382-Follow-Up Studies,
pubmed-meshheading:8489382-Humans,
pubmed-meshheading:8489382-Ileostomy,
pubmed-meshheading:8489382-Inflammation,
pubmed-meshheading:8489382-Intestinal Obstruction,
pubmed-meshheading:8489382-Male,
pubmed-meshheading:8489382-Patient Satisfaction,
pubmed-meshheading:8489382-Proctocolectomy, Restorative,
pubmed-meshheading:8489382-Prospective Studies,
pubmed-meshheading:8489382-Urination Disorders
|
| pubmed:year |
1993
|
| pubmed:articleTitle |
Long-term results of the ileoanal pouch procedure.
|
| pubmed:affiliation |
Department of Colon-Rectal Surgery, Lahey Clinic, Burlington, Mass.
|
| pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|