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CONTINENCE FOLLOWING ILEO‐ANAL ANASTOMOSIS WITH AN ANTIPERISTALTIC TERMINAL ILEAL SEGMENT
Author(s) -
Bokey E. L.,
Chapuis P. H.,
Dunn D. W.,
Hayward P. G.,
Angstreich D.,
Johnson S. E.
Publication year - 1985
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1985.tb00932.x
Subject(s) - medicine , anastomosis , ulcerative colitis , total colectomy , terminal ileum , surgery , colectomy , ileostomy , anal canal , rectum , gastroenterology , ileum , disease
The procedure of total colectomy, excision of the rectal mucosa and ileo‐anal anastomosis with or without a proximal small intestinal reservoir has been described as a method of treating patients with ulcerative colitis and familial polyposis coli. The purpose of constructing a terminal ileal reservoir is to reduce the severe diarrhoea which often occurs following ileo‐anal anastomosis. It is suggested that the use of a single antiperistaltic segment for this purpose would reduce the diarrhoea, and provide continence. This has been tested in the dog and the results are reported in this publication.