TY - JOUR
T1 - Ileoproctostomy with J-pouch
T2 - Use of the swenson pull-through forreconstruction after proctocolectomy for ulcerative colitis
AU - Tracy, Thomas
AU - Krummel, Thomas M.
AU - Salzberg, Arnold M.
PY - 1986/1/1
Y1 - 1986/1/1
N2 - Continence can be preserved by several operationsfollowing proctocolectomy for ulcerative colitis. The Swenson procedure, used for congenital megacolon, may be applied for reconstruction following proctocolectomy for other colonic disease. Rectal eversion and resection to the dentate line obviates the need for mucosectomy and permits ileoanal anastomosis with excellent exposure. Two girls, 9 and 11 years of age, underwent proctocolectomy, formation of an ileal J-pouch, and a Swenson pull-through with ileoanal anastomosis. One year following closure of diverting ileostomies, both children have 2 to 3 continent bowel movements daily with very rare nocturnal soiling. Anal manometry is normal. The application of this method for ileoanal anastomosis may broaden the choice of operations for selected children requiring proctocolectomy.
AB - Continence can be preserved by several operationsfollowing proctocolectomy for ulcerative colitis. The Swenson procedure, used for congenital megacolon, may be applied for reconstruction following proctocolectomy for other colonic disease. Rectal eversion and resection to the dentate line obviates the need for mucosectomy and permits ileoanal anastomosis with excellent exposure. Two girls, 9 and 11 years of age, underwent proctocolectomy, formation of an ileal J-pouch, and a Swenson pull-through with ileoanal anastomosis. One year following closure of diverting ileostomies, both children have 2 to 3 continent bowel movements daily with very rare nocturnal soiling. Anal manometry is normal. The application of this method for ileoanal anastomosis may broaden the choice of operations for selected children requiring proctocolectomy.
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U2 - 10.1016/S0022-3468(86)80408-0
DO - 10.1016/S0022-3468(86)80408-0
M3 - Article
C2 - 3735038
AN - SCOPUS:0022485254
VL - 21
SP - 576
EP - 579
JO - Journal of Pediatric Surgery
JF - Journal of Pediatric Surgery
SN - 0022-3468
IS - 7
ER -