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Achieving enteric continence: principles and applications.

J H Pemberton, K A Kelly

    Mayo Clinic Proceedings
    |July 1, 1986
    PubMed
    Summary
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    Restoring continence after proctocolectomy for inflammatory bowel disease can improve quality of life. Surgical techniques for ileo-anal continence have evolved based on understanding anorectal and ileal continence mechanisms.

    Area of Science:

    • Gastroenterology
    • Surgical Innovation

    Background:

    • Continence is the voluntary control of enteric content passage.
    • Anorectal mechanisms normally provide continence.
    • Brooke ileostomy, while functional, results in incontinence, requiring external appliances.

    Purpose of the Study:

    • To review the current understanding of anorectal continence mechanisms.
    • To examine the principles of ileal continence.
    • To explore surgical achievement of ileo-anal continence after proctocolectomy.

    Main Methods:

    • Review of scientific literature on continence mechanisms.
    • Analysis of surgical evolution in restoring continence.
    • Examination of ileo-anal continence principles.

    Related Experiment Videos

    Main Results:

    • Understanding of continence has advanced through laboratory research.
    • Surgical methods for restoring continence have evolved.
    • Ileo-anal continence has been successfully achieved in select patients.

    Conclusions:

    • Restoring continence post-proctocolectomy enhances patient quality of life.
    • Surgical restoration of continence is based on evolving knowledge of physiological mechanisms.
    • Ileo-anal continence represents a significant advancement in surgical management.