Outcome of the pelvic pouch procedure in patients with prior perianal disease

Diseases of the Colon and Rectum
C S RichardR S McLeod

Abstract

There is concern that patients with presumed ulcerative colitis and significant perianal disease may in fact have Crohn's disease. Moreover, prior perianal disease may be an independent factor for poor outcome of the pelvic pouch. The aim of this study was to evaluate the effect of prior perianal disease on pelvic pouch outcome. Between 1982 and 1994, 52 of 753 patients (6.9 percent) who had a pelvic pouch procedure were prospectively identified as having perianal disease. Outcome of the pelvic pouch of these 52 patients (Group I) were compared with the outcome of 701 pelvic pouch patients with no prior perianal disease (Group II). The perianal diseases identified in Group I were fissure-in-ano (17), perianal abscesses (13), fistula-in-ano (7), rectovaginal fistula (3), and significant hemorrhoids/skin tags (25). Eleven patients (21 percent) had more than one type of perianal disease. Twenty-seven patients (52 percent) required a total of 33 perianal operations for the different anal pathologies. Both groups were comparable for the following characteristics: age at time of pelvic pouch procedure, pathology (ulcerative colitis or indeterminate colitis), design of pouch, and type of ileoanal anastomosis (handsewn or stapled). An ...Continue Reading

References

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Citations

Nov 13, 2004·Diseases of the Colon and Rectum·Joshua M BravemanLawrence C Rusin
Jul 2, 2005·Diseases of the Colon and Rectum·S LoloheaF A Frizelle
Aug 10, 2002·Journal of the American College of Surgeons·Alon PikarskySteven D Wexner
Feb 13, 2001·The British Journal of Surgery·D BurkeR J Nicholls
Dec 14, 2002·Inflammatory Bowel Diseases·Bruce G Wolff
Aug 24, 2005·Inflammatory Bowel Diseases·Ismail Hamzaoglu, Richard A Hodin
Oct 8, 2003·Annals of Surgery·Victor W FazioConor P Delaney
Jun 23, 2004·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·R Zinicola, R J Nicholls
Jul 1, 2005·The British Journal of Surgery·P P TekkisS A Strong
Aug 9, 2003·The British Journal of Surgery·H TulchinskyR J Nicholls
Sep 27, 2003·Alimentary Pharmacology & Therapeutics·K A PapadakisE A Vasiliauskas
Jan 16, 2014·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·N Cracco, R Zinicola
Oct 12, 2014·Journal of Crohn's & Colitis·Tom ØreslandUNKNOWN European Crohn's and Colitis Organisation (ECCO)
Feb 1, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A L LightnerS R Steele
Jul 16, 2008·Arquivos De Gastroenterologia·Raquel Franco LealJuvenal Ricardo Navarro Góes
Apr 12, 2003·Langenbeck's Archives of Surgery·H-P BruchJ Nolde
Mar 4, 1999·Primary Care·M O Brown

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