Ileo-anal pouch procedure: experience in the Chinese population.

Published on Nov 1, 1991in Australian and New Zealand Journal of Surgery
· DOI :10.1111/J.1445-2197.1991.TB00165.X
Peter W. K. Lau8
Estimated H-index: 8
(HKU: University of Hong Kong),
John Boey15
Estimated H-index: 15
(HKU: University of Hong Kong),
Theo G. Lorentz6
Estimated H-index: 6
(HKU: University of Hong Kong)
Sources
Abstract
The ileo-anal pouch procedure is now a well-established method for dealing with ulcerative colitis and familial polyposis in many centres in the West. Experience in the Chinese population is not well documented, mainly due to the rarity of inflammatory bowel disease. This report documents the experience of a university teaching hospital in Hong Kong. Despite being a small series, the low complication rates and good functional results show that the pelvic pouch procedure has now evolved to a stage where it can be performed safely even in centres with infrequent experience.
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#2Zane Cohen (TGH: Toronto General Hospital)H-Index: 31
Last. J.E. Blair (TGH: Toronto General Hospital)H-Index: 7
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A retrospective review was undertaken to determine factors important in predicting functional results following the ileal reservoir and ileoanal anastomosis procedure. One hundred seventy-nine patients underwent ileal reservoir and ileoanal anastomosis at the University of Toronto between December 1981 and January 1987. One hundred sixty-three patients had ulcerative colitis, 11 had familial adenomatous polyposis, and five had Crohn's disease. A J-reservoir was constructed in 72 patients and an ...
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The historical development of restorative proctocolectomy with ileal reservoir, indications, and technique are discussed. Results of the larger published series are compared with reference to different reservoir designs.
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#1John H. Pemberton (Mayo Clinic)H-Index: 90
#2Keith A. KellyH-Index: 61
Last. Duane M. IlstrupH-Index: 158
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The aim of this study was to determine the long-term outcome among 390 patients with ulcerative colitis who underwent ileal J pouch-anal anastomosis and whether patient or operative factors influenced results. The combined operative morbidity rate for the pouch-anal anastomosis and the subsequent closure of the temporary ileostomy was 29% (bowel obstruction, 22%; pelvic sepsis, 5%), with one death due to pulmonary embolus. The probability of a successful outcome at 5 years was 94%. Of the 24 pat...
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#1Garth H. Ballantyne (Veterans Health Administration)H-Index: 2
#2Scott M. GrahamH-Index: 5
Last. Irvin M. Modlin (Yale University)H-Index: 85
view all 4 authors...
This is the first case report of the superior mesenteric artery syndrome developing in a patient following total proctocolectomy and ileal J-pouch anal anastomosis. In addition, this is the first demonstration of this syndrome using abdominal CT scan. A 22-year-old veteran underwent total proctocolectomy for left-sided ulcerative colitis because of failure of medical therapy. At operation an ileal J-pouch anal anastomosis was constructed. Following operation, the patient developed an intestinal ...
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#1Lee E. SmithH-Index: 20
#2William G. FriendH-Index: 6
Last. Steven J. MedwellH-Index: 3
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Etude sur cadavres humains montrant l'importance de la longueur de l'artere mesenterique superieure quant a la faisabilite de l'operation
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Eight patients with ulcerative colitis and one with multiple polyposis have undergone total colectomy, mucosal proctectomy, endorectal ileal pullthrough with ileoanal anastomosis, and a diverting ileostomy at UCLA Hospital during a two-year period. Five of the patients underwent construction of side-to-side ileal reservoirs and closure of the cutaneous ileostomies within six months. Wound complications were uncommon compared with the previous clinical experience with an S-shaped ileal reservoir....
Source
: Familial polyposis is a hereditary premalignant condition that culminates in the development of large-bowel cancer in the untreated patient. Controversy exists about the most appropriate prophylactic treatment; the alternatives are proctocolectomy and ileostomy versus colectomy and ileorectal anastomosis. There is discrepancy in the surgical literature about the exact incidence of subsequent rectal cancer in patients who undergo colectomy and ileorectal anastomosis. On the basis of our own exp...
#1Joji Utsunomiya (Tokyo Medical and Dental University)H-Index: 37
#2Takeo Iwama (Tokyo Medical and Dental University)H-Index: 27
Last. Renzo Hirayama (Tokyo Medical and Dental University)H-Index: 11
view all 7 authors...
A safe and practical procedure for total colectomy and mucosal proctectomy with ileonal anastomosis has been developed and performed by us on 11 patients with adenomatosis coli and two patients with ulcerative colitis. The major features of the operative procedure are 1) total removal of the rectal mucosa to just above the dentate line; 2) preservation of anorectal function by a long rectal cuff procedure achieved by rectal mucosal excision from a level just below the sacral promontory, using a ...
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#1Charles G. MoertelH-Index: 96
#2John R. HillH-Index: 9
Last. Martin A. AdsonH-Index: 31
view all 3 authors...
Multiple polyposis of the large bowel was probably recognized clinically as early as 1721 by Menzel.1An increasing awareness of the nature of this disease evolved in the late 1800's and the early years of this century, culminating in the lucid descriptions of hereditary pattern, clinical presentation, and malignant potentiality by Lockhart-Mummery2and Dukes.3 Multiple polyposis is a familial disease transmitted as a mendeliandominant characteristic with a high degree of penetrance. Polyps are us...
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During recent years much progress has been made in creating well functioning ileostomies in paients after panproctocolectomy. The development of the adherent ileostomy bag has to a great extent facilitated the care of these patients. In spite of all the progress in management of the ileostomy and in spite of the fact that most of the patients are very pleased with the ileostomy after a long disabling disease, there are still many drawbacks of even as well functioning unit. The flow of intestinal...
Source
Cited By3
Newest
#1Rupert W. Leong (UNSW: University of New South Wales)H-Index: 57
#2James Y.W. Lau (CUHK: The Chinese University of Hong Kong)H-Index: 76
Last. Joseph J.Y. Sung (CUHK: The Chinese University of Hong Kong)H-Index: 167
view all 3 authors...
Background: Inflammatory bowel disease is uncommon in Southeast Asia but is increasing in incidence. The epidemiology and phenotype of Crohn disease (CD) in the Chinese population is not well-known. The purpose of this study was to determine the incidence, temporal trend, clinical features, risk factors, extraintestinal manifestations, and the treatment of CD in the Chinese population of Hong Kong. Methods: We performed a single-center study of consecutive definite CD cases based on internationa...
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