Affiliation:
1. Department of Surgery 1, Kyushu University, Faculty of Medicine, Maidashi 3–1–1, Fukuoka 812, Japan
Abstract
Abstract
A terminal ileal transposition procedure, in which a distal jejunal segment is interposed between the terminal ileum and the anus following proctocolectomy, is described. Adult mongrel dogs had either terminal ileal transposition (n = 5) or ileoanal anastomosis (n = 6) following two-stage proctocolectomy. Untreated dogs were used as controls (n = 7). Twelve weeks after the second-stage operation, a perfusion study was performed. After terminal ileal transposition the transposed terminal ileum showed a high absorptive capability for sodium, chloride and bile acids (P < 0·05, P < 0·05 and P < 0·001 respectively). After ileoanal anastomosis the absorptive capability of the terminal ileum was not enhanced significantly. In the mid-jejunum, the absorption of bile acids, chloride and glucose was enhanced (all P < 0·05) only after terminal ileal transposition. Terminal ileal transposition improves the absorptive capability of the terminal ileum and the mid-jejunum compared with conventional ileoanal anastomosis in this model.
Publisher
Oxford University Press (OUP)
Reference36 articles.
1. Total colectomy, mucosal proctocolectomy, and ileoanal anastomosis;Utsunomiya;Dis Colon Rectum,1980
2. Quality of life after proctocolectomy. A comparison of Brooke ileostomy, Kock pouch, and ileal pouch-anal anastomosis;Kohler;Gastroenterology,1991
3. Quality of life after restorative proctocolectomy with a pelvic ileal reservoir compares favorably with that of patients with medically treated colitis;Sagar;Dis Colon Rectum,1993
4. Restorative proctocolectomy with various types of reservoir;Nicholls;World J Surg,1987
5. Quadruple-loop (W) ileal pouch reconstruction after proctocolectomy: analysis and functional results;Harms;Surgery,1987
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