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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1998-8-13
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pubmed:abstractText |
The continence preserving restorative proctocolectomy is the operation of choice for ulcerative colitis. Many technical aspects of the J-pouch procedure have been standardised. We prefer the hand-sewn pouch-anal anastomoses and construct a protective ileostomy in most patients. Latter allows to carefully assess the sphincter function postoperatively and--if necessary--to train the sphincter before restoring continence. The frequency of postoperative ileus is comparable to that after other major intraabdominal surgery. Septic pelvic complications occur in up to 10% of patients and determine the long-term prognosis of pouch function. Following pouch reconstruction, the stool frequency remains increased (4-6 per day) and continence may be partially impaired especially at night. These consequences are accepted by most patients. Because the ileoanal pouch procedure is a difficult and complicated operation, it should be performed by experienced surgeons only.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0044-409X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
123
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
375-80
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9622897-Adolescent,
pubmed-meshheading:9622897-Adult,
pubmed-meshheading:9622897-Aged,
pubmed-meshheading:9622897-Anal Canal,
pubmed-meshheading:9622897-Anastomosis, Surgical,
pubmed-meshheading:9622897-Child,
pubmed-meshheading:9622897-Colectomy,
pubmed-meshheading:9622897-Fecal Incontinence,
pubmed-meshheading:9622897-Female,
pubmed-meshheading:9622897-Humans,
pubmed-meshheading:9622897-Ileostomy,
pubmed-meshheading:9622897-Intestinal Mucosa,
pubmed-meshheading:9622897-Male,
pubmed-meshheading:9622897-Manometry,
pubmed-meshheading:9622897-Middle Aged,
pubmed-meshheading:9622897-Postoperative Complications,
pubmed-meshheading:9622897-Proctocolectomy, Restorative,
pubmed-meshheading:9622897-Rectum,
pubmed-meshheading:9622897-Suture Techniques
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pubmed:year |
1998
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pubmed:articleTitle |
[Technique and results of ileoanal pouches in ulcerative colitis after colectomy and proctomucosectomy].
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pubmed:affiliation |
Chirurgische Klinik I und Poliklinik, Universitätsklinikum Benjamin Franklin, Freie Universität Berlin.
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pubmed:publicationType |
Journal Article,
English Abstract
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