Is omitting pouchography before ileostomy takedown safe after negative clinical examination in asymptomatic patients with pelvic ileal pouch? An observational study.

Techniques in Coloproctology
F SelvaggiG Sciaudone

Abstract

When restorative proctocolectomy (RPC) is performed, a temporary diverting loop ileostomy is often fashioned and usually closed 2-3 months later. Pouchography is used to assess pouch integrity, although its benefits have been questioned and no definitive data support its routine use. Our aim was to assess the utility of pouchography before ileostomy closure in patients with a negative clinical examination. We retrospectively reviewed our database of patients who underwent ileostomy takedown between 1987 and 2010. Two hundred and thirty-two patients were identified who underwent RPC with a W- or J-pouch for ulcerative colitis or familial adenomatous polyposis. Twenty-one patients underwent RPC without diversion. Twenty-four symptomatic patients were excluded from the study. Only asymptomatic patients with a normal clinical examination were enrolled. One patient was lost at follow-up. Hence, 186 patients were considered suitable for evaluation. Patients undergoing ileostomy closure without any radiological examination were assigned to Group A (n = 132); those operated on after a preoperative pouchography to Group B (n = 54). Pouchography was normal in 49 (90.7%) Group B patients. None of the 5 (9.3%) Group B patients with an abno...Continue Reading

References

Jul 8, 1978·British Medical Journal·A G Parks, R J Nicholls
Jun 1, 1992·Diseases of the Colon and Rectum·J I TsaoJ H Pemberton
Jan 1, 1990·AJR. American Journal of Roentgenology·R F ThoeniT B Schrock
Oct 1, 1988·Diseases of the Colon and Rectum·M Pescatori
Oct 1, 1980·Diseases of the Colon and Rectum·J UtsunomiyaR Hirayama
Jun 1, 1983·Diseases of the Colon and Rectum·M PescatoriC I Bartram
Aug 1, 1980·The British Journal of Surgery·A G ParksP Belliveau
Sep 1, 1995·Clinical Radiology·P N MalcolmJ B Murfitt
Sep 1, 1994·Clinical Radiology·I M KellyR J Nicholls
May 1, 1993·Gut·M R KeighleyI Bain
Jun 30, 1998·Diseases of the Colon and Rectum·E M BreenL C Rusin
May 1, 1997·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·D C NyamS M Mathison
Aug 2, 2003·Annals of Surgery·Hagit TulchinskyJohn Nicholls
Mar 11, 2004·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·G M da SilvaO Zmora
Nov 23, 2006·AJR. American Journal of Roentgenology·Michel D CremaLionel Arrivé
Jun 21, 2007·AJR. American Journal of Roentgenology·David DolinskyJohn L Rombeau
Mar 28, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Matthew F KaladyKirk A Ludwig
Apr 1, 2009·Diseases of the Colon and Rectum·Robert P AkbariAnders F Mellgren
Aug 21, 2010·Techniques in Coloproctology·V N PapadopoulosS Apostolidis

❮ Previous
Next ❯

Citations

Sep 19, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Rudolf MennigenEmile Rijcken
Aug 28, 2014·International Journal of Surgery·Gianluca PellinoFrancesco Selvaggi
Aug 28, 2014·International Journal of Surgery·Gianluca PellinoSilvestro Canonico
Dec 29, 2015·International Journal of Surgery·Gianluca PellinoFrancesco Selvaggi
Jan 6, 2015·Techniques in Coloproctology·F Selvaggi, G Pellino
Apr 20, 2014·Gastroenterology Research and Practice·Gianluca PellinoFrancesco Selvaggi
Aug 1, 2018·Techniques in Coloproctology·C SantorelliS K Clark
Mar 4, 2020·Techniques in Coloproctology·G PellinoUNKNOWN Italian Society of Colorectal Surgery SICCR
Sep 2, 2015·Acta chirurgica Belgica·G PellinoF Selvaggi

❮ Previous
Next ❯

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.

Related Papers

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
M ScarpaI Angriman
Diseases of the Colon and Rectum
Hiroki IkeuchiTakehira Yamamura
© 2021 Meta ULC. All rights reserved