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- Title
Function after ileal pouch and stapled pouch-anal anastomosis for ulcerative colitis.
- Authors
Williams, N. S.; Marzouk, D. E. M. M.; Hallan, R. I.; Waldron, D. J.
- Abstract
Fourteen patients with ulcerative colitis underwent formation of an S ileal pouch and construction of a stapled pouch-anal anastomosis by a modified technique, which eliminated the use of purse-string sutures. Eleven have had their covering ileostomies closed. Anal manometry performed before and a median of 9 months after ileostomy closure showed significant impairment of internal anal sphincter function. Night evacuation was significantly reduced in the stapled group compared with a similar group of patients who had undergone S ileal pouch formation, mucosal proctectomy and manual transanal anastomosis, but this was the only parameter of function to show a difference. A stapled pouch-anal anastomosis may be superior to the conventional procedure but it still may lead to internal anal sphincter damage which cannot be due to mucosectomy or prolonged anal retraction.
- Publication
British Journal of Surgery, 1989, Vol 76, Issue 11, p1168
- ISSN
0007-1323
- Publication type
Article
- DOI
10.1002/bjs.1800761119