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Clinical results after restorative proctocolectomy without diverting ileostomy for ulcerative colitis

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International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Background and aims

This study evaluated the postoperative complications and clinical results of restorative proctocolectomy without diverting ileostomy for ulcerative colitis.

Patients and methods

One hundred selected patients had a hand-sewn ileal J-pouch anal anastomosis with mucosectomy using an ultrasonically activated scalpel.

Results

Three patients with pouch-related complications who needed diverting ileostomy. Five patients showed intestinal obstruction; two of the five needed relaparotomy and division of adhesions. The median number of bowel movements per 24 h was 6.5 (2–13) at 3 months and 5 (3–10) at 12 months. The corresponding nightly frequencies were 0 (0–5) at 3 months and 0 (0–3) at 12 months. After 3 months 82% of patients had no soiling during the daytime, and 45% were fully continent day and night. After 3 months 89% had recovered the ability to distinguish flatus from feces.

Conclusion

Ileal pouch anal anastomosis can be performed safely without diverting ileostomy using an ultrasonically activated scalpel. The postoperative functional result was stabilized 3 months after the operation.

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Authors and Affiliations

  1. Second Department of Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cyo, Nisinomiya, 663-8501, Hyogo, Japan

    Hiroki Ikeuchi, Yasutsugu Shoji, Hidenori Yanagi, Masafumi Noda & Takehira Yamamura

  2. Second Department of Surgery, Faculty of Medicine, Mie University, Japan

    Masato Kusunoki

Authors
  1. Hiroki Ikeuchi
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  2. Yasutsugu Shoji
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  3. Masato Kusunoki
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  4. Hidenori Yanagi
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  5. Masafumi Noda
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  6. Takehira Yamamura
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Corresponding author

Correspondence to Hiroki Ikeuchi.

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Ikeuchi, H., Shoji, Y., Kusunoki, M. et al. Clinical results after restorative proctocolectomy without diverting ileostomy for ulcerative colitis. Int J Colorectal Dis 19, 234–238 (2004). https://doi.org/10.1007/s00384-003-0538-4

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  • DOI: https://doi.org/10.1007/s00384-003-0538-4

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