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 Ileocecal patch –low rectal anastomosis in total colectomy: New idea for the prevention of fecal incontinence

Background: Total colectomy is used in children with total colonic aganglionosis, Ulcerative colitis (UC) and familial adenomatous polyposis (FAP). The purpose of this study was to maintain ileocecal valve and rectal-sparing surgery for the prevention of fecal incontinence in these children. Methods...

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Autores principales: Mehrabi, Valiullah, Mohajerzadeh, Leily, Mirshemirani, Alireza, Khaleghnejad Tabari, Ahmad, Falahi, Azadeh, Abtahi, Shabnam, Kafaei, Marjan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Babol University of Medical Sciences 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3992234/
https://www.ncbi.nlm.nih.gov/pubmed/24778783
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author Mehrabi, Valiullah
Mohajerzadeh, Leily
Mirshemirani, Alireza
Khaleghnejad Tabari, Ahmad
Falahi, Azadeh
Abtahi, Shabnam
Kafaei, Marjan
author_facet Mehrabi, Valiullah
Mohajerzadeh, Leily
Mirshemirani, Alireza
Khaleghnejad Tabari, Ahmad
Falahi, Azadeh
Abtahi, Shabnam
Kafaei, Marjan
author_sort Mehrabi, Valiullah
collection PubMed
description Background: Total colectomy is used in children with total colonic aganglionosis, Ulcerative colitis (UC) and familial adenomatous polyposis (FAP). The purpose of this study was to maintain ileocecal valve and rectal-sparing surgery for the prevention of fecal incontinence in these children. Methods: From1990 to 2011, 14 children with diagnosis of UC, FAP and Hirschsprung’s disease were operated. Total colectomy was done with the preservation of patch of cecum with ileocecal valve and half of the rectum with ileocecorectal anastomosis. Distal ileum designed as S shape pouch and ileocecal valve were preserved. In Hirschsprung’s disease, posterior rectal myotomy was established. The data were collected and analyzed. Results: The mean age of the patients was 54 months (ranged from 2 months to 18 years). Ten patients were male. Among 14 patients, Hirschsprung’s disease, ulcerative colitis and FAP were seen in 10, 3, and one case, respectively. They were followed up annually. Clinical and endoscopic examinations were performed to evaluate the function of ileocecorectal anastomosis. They followed from 2 to 24 years. At first year, the patients experienced four to six bowel movements during the day and one at night. This frequency decreased over time. The main postoperative complications included recurrent enterocolitis (n=2), perianal fistula (n=2). Only 2 patients were suffering from some degree of fecal soiling. Conclusion: The results show that the Ileocecal patch- low rectal anastomosis in total colectomy leads to low complications and prevent fecal frequency and incontinence. It also increases absorptive function of ileum in children.
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spelling pubmed-39922342014-04-28  Ileocecal patch –low rectal anastomosis in total colectomy: New idea for the prevention of fecal incontinence Mehrabi, Valiullah Mohajerzadeh, Leily Mirshemirani, Alireza Khaleghnejad Tabari, Ahmad Falahi, Azadeh Abtahi, Shabnam Kafaei, Marjan Caspian J Intern Med Original Article Background: Total colectomy is used in children with total colonic aganglionosis, Ulcerative colitis (UC) and familial adenomatous polyposis (FAP). The purpose of this study was to maintain ileocecal valve and rectal-sparing surgery for the prevention of fecal incontinence in these children. Methods: From1990 to 2011, 14 children with diagnosis of UC, FAP and Hirschsprung’s disease were operated. Total colectomy was done with the preservation of patch of cecum with ileocecal valve and half of the rectum with ileocecorectal anastomosis. Distal ileum designed as S shape pouch and ileocecal valve were preserved. In Hirschsprung’s disease, posterior rectal myotomy was established. The data were collected and analyzed. Results: The mean age of the patients was 54 months (ranged from 2 months to 18 years). Ten patients were male. Among 14 patients, Hirschsprung’s disease, ulcerative colitis and FAP were seen in 10, 3, and one case, respectively. They were followed up annually. Clinical and endoscopic examinations were performed to evaluate the function of ileocecorectal anastomosis. They followed from 2 to 24 years. At first year, the patients experienced four to six bowel movements during the day and one at night. This frequency decreased over time. The main postoperative complications included recurrent enterocolitis (n=2), perianal fistula (n=2). Only 2 patients were suffering from some degree of fecal soiling. Conclusion: The results show that the Ileocecal patch- low rectal anastomosis in total colectomy leads to low complications and prevent fecal frequency and incontinence. It also increases absorptive function of ileum in children. Babol University of Medical Sciences 2014 /pmc/articles/PMC3992234/ /pubmed/24778783 Text en © 2014: Caspian Journal of Internal Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Mehrabi, Valiullah
Mohajerzadeh, Leily
Mirshemirani, Alireza
Khaleghnejad Tabari, Ahmad
Falahi, Azadeh
Abtahi, Shabnam
Kafaei, Marjan
 Ileocecal patch –low rectal anastomosis in total colectomy: New idea for the prevention of fecal incontinence
title  Ileocecal patch –low rectal anastomosis in total colectomy: New idea for the prevention of fecal incontinence
title_full  Ileocecal patch –low rectal anastomosis in total colectomy: New idea for the prevention of fecal incontinence
title_fullStr  Ileocecal patch –low rectal anastomosis in total colectomy: New idea for the prevention of fecal incontinence
title_full_unstemmed  Ileocecal patch –low rectal anastomosis in total colectomy: New idea for the prevention of fecal incontinence
title_short  Ileocecal patch –low rectal anastomosis in total colectomy: New idea for the prevention of fecal incontinence
title_sort  ileocecal patch –low rectal anastomosis in total colectomy: new idea for the prevention of fecal incontinence
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3992234/
https://www.ncbi.nlm.nih.gov/pubmed/24778783
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