Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
|
pubmed:dateCreated |
1998-5-29
|
pubmed:abstractText |
We introduced a terminal ileal transposition procedure (TITP) in ileal pouch-anal anastomosis, in which a 50 to 70 cm isolated ileal segment 20 to 40 cm from the ileocecal valve was interposed between the terminal ileum and the anus. Twelve patients underwent this procedure in two or three-staged operations. Mean stool frequency per 24 hours was 4.4 +/- 1.7, and stool consistency was formed and soft in all patients at the mean of 13 months after TITP. We observed neither surgical technique-related complications nor metabolic disorders, except for iron deficiency anemia, during and after the operations. The serum level of vitamin B12 significantly increased after the operation in eight patients (P < 0.05). TITP has advantages such as preventing the terminal ileum from metabolic dysfunction due to pouchitis, avoiding sacrifice of the terminal ileum in the two-staged operation, and obviating the need for reconstruction of ileostomy in the three-staged operation. It may also promote intestinal absorption and reduce late metabolic complications.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:issn |
0179-1958
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
13
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
17-20
|
pubmed:dateRevised |
2005-11-17
|
pubmed:meshHeading |
pubmed-meshheading:9548095-Adolescent,
pubmed-meshheading:9548095-Adult,
pubmed-meshheading:9548095-Aged,
pubmed-meshheading:9548095-Anal Canal,
pubmed-meshheading:9548095-Anastomosis, Surgical,
pubmed-meshheading:9548095-Anemia, Hypochromic,
pubmed-meshheading:9548095-Female,
pubmed-meshheading:9548095-Humans,
pubmed-meshheading:9548095-Ileum,
pubmed-meshheading:9548095-Male,
pubmed-meshheading:9548095-Middle Aged,
pubmed-meshheading:9548095-Postoperative Complications,
pubmed-meshheading:9548095-Proctocolectomy, Restorative,
pubmed-meshheading:9548095-Vitamin B 12
|
pubmed:year |
1998
|
pubmed:articleTitle |
Terminal ileal transposition procedure in ileoanal anastomosis following proctocolectomy.
|
pubmed:affiliation |
Department of Surgery I, Kyushu University Faculty of Medicine, Fukuoka, Japan.
|
pubmed:publicationType |
Journal Article
|