[Continent ileoanal reservoir--a surgical challenge].

Der Urologe. Ausg. A
U ZurbuchenH J Buhr

Abstract

The optimization of surgical techniques has made it possible to now treat patients with deep-seated rectal cancer by performing deep anterior rectal resection with coloanal anastomosis while avoiding a permanent stoma. To prevent a high bowel movement frequency and limited continence with an imperative need to empty the bowel, the coloanal pouch operation was developed to construct a rectal substitute. Nowadays, patients with ulcerative colitis or familial adenomatous polyposis of the colon undergo proctocolectomy as the definitive treatment for their underlying disease. Continuity is restored by creating an ileoanal reservoir. This contribution describes the surgical indications and pathophysiological changes for the colon J-pouch and ileoanal reservoir. In addition, explanations of the surgical techniques for both procedures are presented. The functional results are compared with those of other reconstruction options and discussed, taking our own results into consideration.

References

Aug 1, 1995·Annals of Surgery·V W FazioT K Schroeder
Jan 1, 1997·Diseases of the Colon and Rectum·J Y WangR Tang
Nov 12, 1998·International Journal of Colorectal Disease·A F LeongC L Tang
Nov 12, 1998·International Journal of Colorectal Disease·S PetersenK Ludwig
Dec 31, 1998·International Journal of Colorectal Disease·S J Lee, Y S Park
Jun 15, 1999·International Journal of Colorectal Disease·A J KroesenH J Buhr
Jul 20, 1999·Diseases of the Colon and Rectum·F T HuberJ R Siewert
Aug 26, 1999·International Journal of Colorectal Disease·O SchwandnerH P Bruch

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