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...

(This section is meant for residents to check their understanding regarding a particular topic) QUESTIONS 1. What are the diagnostic features of congenital pouch colon (CPC)? 2. What associated anomalies are seen with congenital pouch colon? 3. What are various surgical options in the emergency management of congenital pouch colon? 4. What specific post-colostomy complications are seen with con...

In a previous article (1)) on the secretion of gastric juice in fever, it was reported that the concentration of’ chlorides in gastric juice was constant or slightly reduced. In this present paper I wish to emphasize the relation between the secretion of total chlorides in gastric juice and the secretion of free hydrochloric acid. Most of the data for this paper were obtained at that time but u...

A 3-day-old term male child weighing 2.1 Kg, born by spontaneous vaginal delivery, was admitted with complaints of abdominal distention, meconuria and absent anal opening. This was the first child of the couple who had a non-consanguineous marriage. On examination, there was abdominal distention, poorly developed gluteal folds and an absent anal opening. Plain X-ray abdomen showed two large air...

Background: The gold standard of the management of rectal cancer in the middle and lower parts is low anterior resection with coloanal anastomosis. About 50% of the patients undergoing this procedure might experience some complications because of the low capacity of the neorectum. The aim of this study was to evaluate ileal J-pouch interposition as a neorectum between the anal canal and the rem...

Background: The Band prolapse complications of laparoscopic adjustable gastric banding (LAGB) can be treated endoscopically. We present two patients with repeated prolapses after endoscopic treatment who required gastric plication treatments. Methods: From December 2007 to March 2016, 1469 consecutive patients (227 male, 1242 female) underwent LAGB; 56 patients had band prolapses and 16 patient...