S‐pouchesvs.J‐pouchesA comparison of functional outcomes
作者:
S. McHugh,
N. Diamant,
R. McLeod,
Z. Cohen,
期刊:
Diseases of the Colon & Rectum
(OVID Available online 1987)
卷期:
Volume 30,
issue 9
页码: 671-677
ISSN:0012-3706
年代: 1987
出版商: OVID
关键词: Pelvic pouch;Ileoanal anastomosis;Continence;Restorative proctocolectomy
数据来源: OVID
摘要:
&NA;Subjects undergoing proctocolectomy with ileoanal anastomosis of either a J‐shaped or a S‐shaped ileal reservoir were studied with respect to functional status. Both subjective and objective measures were used. The S‐pouch subjects appeared to have better early functional results, but no differences were found between groups evaluated at least one year from ileostomy closure. While virtually all subjects preferred restorative proctocolectomy to their previous loop ileostomy, there was a relatively high frequency of bowel‐related symptoms, worries about bowel activity, and associated behavioral changes. The actual significance of these symptoms is difficult to determine at present. Further assessment of the quality of life in individuals with restorative proctocolectomy in comparison with subjects undergoing alternative surgical treatments is recommended.
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