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The pouch as an alternative to permanent ileostomy
M R Keighley1, M C Winslet, W Pringle
1General Hospital, Birmingham.
British Journal of Hospital Medicine
|October 1, 1987
Summary
Restorative proctocolectomy offers an alternative to permanent stomas for ulcerative colitis and familial polyposis coli. While restoring bowel continuity, patients experience frequent bowel movements, but complications decrease with surgical experience.
Area of Science:
- Gastroenterology and Surgical Oncology
Background:
- Restorative proctocolectomy is an alternative to permanent stomas for ulcerative colitis and familial polyposis coli.
- This procedure restores intestinal continuity but necessitates frequent bowel movements.
Purpose of the Study:
- To review the role and outcomes of ileoanal pouch anastomosis.
Main Methods:
- Literature review of restorative proctocolectomy and ileoanal pouch anastomosis.
Main Results:
- Patients undergoing restorative proctocolectomy experience 4-5 daily bowel movements, with over half needing nighttime defecation.
- Potential complications are significant but decrease with surgeon experience.
Conclusions:
- Ileal pouch anal anastomosis is a viable option, with outcomes improving with increased surgical experience.