Restorative proctocolectomy with ileal reservoir: a pathophysiological assessment.
نویسندگان
چکیده
منابع مشابه
Restorative proctocolectomy with ileal reservoir: a pathophysiological assessment.
A metabolic and physiological assessment was carried out in 14 patients who had undergone restorative proctocolectomy with ileal reservoir more than six months previously. The haemoglobin was normal in all but one and plasma electrolytes and serum albumin, calcium, phosphorus, and red cell folate estimations were normal in all. Five patients had low serum iron levels of whom one had an iron def...
متن کاملRestorative Proctocolectomy with Ileal Reservoir: Pouch Configuration and Volume
Restorative proctocolectomy with ileal reservoir has become an accepted form of treatment for ulcerative colitis and familial adenomatous polyposis. Five types of reservoirs have been developed: the S pouch, J pouch, H pouch, W pouch and K pouch. This paper reviews the differences in the clinical and functional outcomes among the various reservoir designs and their sizes. From the results of th...
متن کاملRestorative proctocolectomy with ileal reservoir: pathological and histochemical study of mucosal biopsy specimens.
Mucosal biopsy specimens from the ileal reservoirs of 92 patients who had undergone restorative proctocolectomy (12 with familial adenomatous polyposis, 78 with ulcerative colitis, and two with functional bowel disease) were studied. Chronic inflammation was found in almost all, as was villous atrophy of varying severity. Other changes included pyloric metaplasia and mucosal prolapse. Acute inf...
متن کاملAdverse metabolic sequelae following restorative proctocolectomy with an ileal pouch.
Ileal pouch-anal anastomosis (IPAA) following total proctocolectomy has become the surgical treatment of choice for ulcerative colitis patients who have medically refractory disease or neoplasia. Unfortunately, various metabolic complications have been reported with this surgical procedure, including anemia, vitamin B(12) deficiency, bile salt and fat malabsorption, vitamin D deficiency, bone l...
متن کاملOutcome of restorative proctocolectomy with ileal reservoir for ulcerative colitis: comparison of distal colitis with more proximal disease.
BACKGROUND An increasing number of patients with severe or refractory ulcerative colitis involving only the rectum and sigmoid colon are being offered restorative proctocolectomy with ileal reservoir but very few data are available concerning the outcome for these patients. AIM This study was designed to compare the outcome of ileal pouch procedures for distal ulcerative colitis with procedur...
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ژورنال
عنوان ژورنال: Gut
سال: 1981
ISSN: 0017-5749
DOI: 10.1136/gut.22.6.462