Restorative Proctocolectomy

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An audit of restorative proctocolectomy.

A total of 168 restorative proctocolectomies have been performed without mortality during the past nine years. Morbidity from pelvic sepsis (12%), ileoanal stricture (15%), and pouch related fistulas (16%) have become less with increasing experience of the operation. Pouch excision, which occurred in 30% of the first 50 patients was undertaken in only 4% in the last 68 patients. Despite this, i...

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Treatment of severe childhood constipation with restorative proctocolectomy.

OBJECTIVE To describe the clinical features of children with severe constipation and their outcome after restorative proctocolectomy. DESIGN Observational study and health status questionnaire using gastrointestinal quality of life score (GIQL). SETTING English regional paediatric surgery service. PATIENTS Five children were identified, with severe constipation, whose symptoms had not imp...

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Restorative 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...

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Factors affecting pouch-related outcomes after restorative proctocolectomy

PURPOSES Restorative proctocolectomy (RPC) with ileal pouch anal anastomosis (IPAA) is the procedure of choice for patients with familial adenomatous polyposis (FAP) and ulcerative colitis (UC) despite morbidities that can lead to pouch failure. We aimed to identify factors associated with pouch-related morbidities. METHODS A retrospective analysis of patients who underwent RPC with IPAA was ...

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Aspects on Long-term Outcome After Restorative Proctocolectomy

Background Restorative proctocolectomy is the preferred surgical alternative for reconstruction after proctocolectomy for ulcerative colitis. The majority of patients are satisfied with the functional outcome. However, a proportion of the patients suffer from complications ...

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ژورنال

عنوان ژورنال: Gut

سال: 1994

ISSN: 0017-5749

DOI: 10.1136/gut.35.9.1329-b