PMID: 3751197Jun 1, 1986Paper

Endorectal mucosectomy, endorectal ileal pull-through and ileoanal anastomosis

Zeitschrift für Gastroenterologie
W H Schraut

Abstract

Ileoanal anastomosis has evolved as a true alternative to proctocolectomy with permanent ileostomy over the past decade and has made a major impact on the operative treatment of patients with ulcerative colitis and familial polyposis. Experimental studies and clinical experience support the addition of a proximal ileal reservoir to the ileoanal anastomosis. Several types of reservoirs have been proposed of which the U-shaped reservoir has found the widest acceptance and the most frequent application. This reservoir constitutes an adequate replacement for the rectum by providing a low-pressure, compliant, peristaltically quiescent reservoir which still can be triggered to evacuate spontaneously at a reasonable threshold volume. Overall, the ileoanal anastomosis with proximal ileal reservoir fulfills the set clinical requirements: the underlying disease (polyposis, ulcerative colitis) is dealt with in a curative manner. An ileostomy is avoided. Anal continence is preserved. The operative procedure is safe and of comparable mortality and morbidity to the proctocolectomy with ileostomy. It is reasonable to expect that this procedure, i. e. ileoanal anastomosis with proximal ileal reservoir, will become the operation of choice for p...Continue Reading

Related Concepts

Related Feeds

Adenomatous Polyposis Coli

Adenomatous polyposis coli is a protein encoded by the APC gene and acts as a tumor suppressor. Discover the latest research on adenomatous polyposis coli here.