This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (74)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Its Use for Ulcerative Colitis and Familial Polyposis

Robert L. Telander, MD; Jean Perrault, MD

Arch Surg. 1981;116(5):623-629.

Abstract
• Twenty-five children and young adults underwent colectomy with rectal mucosectomy and ileoanal anastomosis for chronic ulcerative colitis or familial polyposis. Follow-up ranged from three to 35 months. A simpler and shorter modification of the operation was used in 12 patients. Balloon catheter dilations were performed in nine patients before closure of the ileostomy to begin enlargement of the neorectum; 24 patients underwent closure of their temporary ileostomy. All patients are alive and well and participate full time in school or work. Two patients had mechanical bowel obstruction; on critical retrospective review, one patient was found to have Crohn's disease that necessitated removal of the rectal cuff. The clinical result was considered excellent in 11 patients, good in seven, fair in three, and poor in three. A gradual decrease in frequency of stooling was observed as the neorectum enlarged during the first year postoperatively. All patients had very good anal sphincter tone with voluntary rectal continence. Although some soiling and leakage occurred, especially during sleeping, these complications decreased with time.

(Arch Surg 1981;116:623-629)

Author Affiliations
From the Sections of Pediatric Surgery (Dr Telander) and Pediatric Gastroenterology and the Division of Gastroenterology and Internal Medicine (Dr Perrault), Mayo Clinic and Mayo Foundation, Rochester, Minn.

Footnotes
Accepted for publication Jan 19, 1981.

Read before the 88th annual meeting of the Western Surgical Association, Salt Lake City, Nov 17, 1980.

Reprint requests to Mayo Clinic, Rochester, MN 55905 (Dr Telander).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Straight Ileoanal Anastomosis v Ileal Pouch-Anal Anastomosis After Colectomy and Mucosal Proctectomy
Taylor et al.
Arch Surg 1983;118:696-701.
ABSTRACT