Is STEP the future for patients requiring proctocolectomy? A new therapeutic proposal from pediatric experience
نویسندگان
چکیده
We present a pediatric case of medically unmanageable juvenile colonic polyposis, initially treated with subtotal colectomy and an ileostomy followed by a proctectomy, ileal-J-pouch and serial transverse enteroplasties (STEP) of the distal ileum. The STEP procedure in an adequate length was able to control stooling of our patient.
منابع مشابه
Totally Transanal Laparo-Endoscopic Single-Site ProctoColectomy-Ileoanal J-Pouch (TLPC-J): An Experimental Study of a Novel Approach
Background: The natural orifice transluminal endoscopic surgery (NOTES) has become a commonly considered novel approach in the surgical field. The NOTES provide possibility of operation through the natural orifice and decreases the intentional puncture of the systemic organ and subsequent complications. Totally transanal laparo-endoscopic single-site proctoColectomy-Ileoanal J-Pouch (TLPC-J) is...
متن کاملClimate Virtues Ethics: A Proposal for Future Research
Climate virtue ethics points to the subjective/personal dimensions of climate ethics, which have been largely neglected by previous research. There is a lot of research from diverse fields that pertains to the cultural and the individual dimensions that come along with climate virtue ethics, but, as of yet, these dimensions have hardly been examined together. Future research on climate virtue e...
متن کاملA NEW TWO STEP CLASS OF METHODS WITH MEMORY FOR SOLVING NONLINEAR EQUATIONS WITH HIGH EFFICIENCY INDEX
It is attempted to extend a two-step without memory method to it's with memory. Then, a new two-step derivative free class of without memory methods, requiring three function evaluations per step, is suggested by using a convenient weight function for solving nonlinear equations. Eventually, we obtain a new class of methods by employing a self-accelerating parameter calculated in each iterative...
متن کاملTechnique of laparoscopic-assisted total proctocolectomy and ileal pouch anal anastomosis in children and adolescents: a single center's 8-year experience.
BACKGROUND Laparoscopic techniques have been applied to restorative proctocolectomy since the early 2000s. We have employed a technique for laparoscopic-assisted total proctocolectomy (TPC) and ileal pouch anal anastomosis (IPAA) for the treatment of children with ulcerative colitis (UC). METHODS A total of 68 children underwent laparoscopic-assisted TPCs at our institution from June 2003 to ...
متن کاملA Study of Epidemiology and Therapeutic Response of Patients with Immune Thrombocytopenic Purpura
Background: Immune thrombocytopenic purpura (ITP) is a disease characterized by decrease of the peripheral blood platelet count. The disease presents in acute and chronic forms. Because of the importance and high prevalence of ITP, it was decided to study the therapeutic response of patients with ITP. Material and Methods: A cross-sectional study was conducted at Ghaem hospital, Mashhad, Ira...
متن کامل