Continent cecostomyAn account of 30 patients
作者:
N.,
Kock H.,
Myrvold B.,
Philipson G.,
Svaninger B.,
期刊:
Diseases of the Colon & Rectum
(OVID Available online 1985)
卷期:
Volume 28,
issue 10
页码: 705-708
ISSN:0012-3706
年代: 1985
出版商: OVID
关键词: Cecostomy;Continent;Reservoir
数据来源: OVID
摘要:
&NA;In this paper, an account is given of our experience with continent colostomy in man. In five patients, the end‐sigmoidostomy was provided with an intussusception valve. Evacuation of the bowel by irrigation through a catheter was laborious and time‐consuming and this method was abandoned. In another group of 30 patients, the cecum was isolated from the rest of the colon and its distal end was provided with an intussusception valve. Of the 30 patients, eight were later given continent ileostomies, two were converted to conventional sigmoidostomies, and one patient with fecal incontinence preferred to have intestinal continuity reestablished. Thus, 19 patients still have continent cecostomies and are satisfied with their function. When comparing the function of the continent cecostomy with that of the continent ileostomy, however, it is obvious that the ileostomy function is superior. The experience obtained with this group of patients has resulted in a widening of the indications for constructing a continent ileostomy, including selected patients with various anorectal disorders.
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