Familial adenomatous polyposis (FAP) is an inherited disease characterized by the development of hundreds of colorectal adenomas, leading to a 100% lifetime risk of colorectal cancer. A prophylactic colectomy is recommended for patients with FAP to prevent colorectal cancer. Four surgical strategies are available for patients with FAP: proctocolectomy with permanent ileostomy, colectomy with il...

We performed construction of continent urinary reservoir in an 8-year-old girl with cloacal exstrophy who had double stoma of ileostomy and colon conduit. Preoperative evaluation revealed non-functioning right kidney with severely dilated renal pelvis and calyxes in her pelvis. Urinary reservoir was constructed using detubularized colon segment which had been used as the urinary conduit and dil...

The absorption of fat, bile salts, and vitamin B12 was studied in 14 proctocolectomised patients six to 10 years after construction of a continent ileostomy. All patients were in excellent health and displayed no signs of malnutrition. Schilling test disclosed subnormal absorption of vitamin B12 in one patient and borderline values in five. Faecal loss of bile acid was increased in 12 patients ...

This study evaluates the results of endorectal Ileal J Pouch Anal Anastomosis (IJPAA) in 13 patients with Ulcerative colitis and 7 patients with familial adenomatous polyposis in 6 years in Emam Hosein Hospital. In the last, for this patients permanent Ileostomy was performed, but with (IJPAA) operation permanent Ileostomy is abandoned. Two patients, total colectomy rectal mocosectomy and ilea...

The Kock continent ileostomy (KCI) was designed by Nik Kock, who used an intussuscepted ileostomy loop to create a nipple valve (●" Fig.1) that would not leak and would allow ileal effluent to be evacuated with a catheter [1]. Enterolith formation is a rarely reported long-term complication of KCI that can lead to disabling symptoms mandating treatment [2–4]. We report the case of a 65-year-old...

INTRODUCTION Rectal function following rectal resection for carcinoma was studied in 43 patients. METHODS Sixteen women and 27 men with a median age of 66 years (range 41-79 years) were included. Twenty-three patients had a diverting ileostomy at the time of resection. Eight patients had a 6-cm colonic J-pouch. Ten patients had anastomotic leakage including two patients without diverting ileo...