Restorative Proctocolectomy with Ileo-anal Reservoir, a Histopathological, Histochemical, and Electron Microscopic Study
نویسندگان
چکیده
منابع مشابه
Restorative proctocolectomy with ileal reservoir: pathological and histochemical study of mucosal biopsy specimens.
Mucosal biopsy specimens from the ileal reservoirs of 92 patients who had undergone restorative proctocolectomy (12 with familial adenomatous polyposis, 78 with ulcerative colitis, and two with functional bowel disease) were studied. Chronic inflammation was found in almost all, as was villous atrophy of varying severity. Other changes included pyloric metaplasia and mucosal prolapse. Acute inf...
متن کاملFunctional outcome and quality of life after restorative proctocolectomy and ileo-anal pouch anastomosis.
OBJECTIVE Reconstructive proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the surgical treatment of ulcerative colitis (UC) and familial adenomatous polyposis (FAP). The aim of our study was to evaluate the functional results of this procedure and to assess its impact upon patient quality of life (QoL). METHODS We evaluated QoL and functional results in patients who had undergone I...
متن کاملRestorative Proctocolectomy with Ileal Reservoir: Pouch Configuration and Volume
Restorative proctocolectomy with ileal reservoir has become an accepted form of treatment for ulcerative colitis and familial adenomatous polyposis. Five types of reservoirs have been developed: the S pouch, J pouch, H pouch, W pouch and K pouch. This paper reviews the differences in the clinical and functional outcomes among the various reservoir designs and their sizes. From the results of th...
متن کاملRestorative proctocolectomy with ileal reservoir: a pathophysiological assessment.
A metabolic and physiological assessment was carried out in 14 patients who had undergone restorative proctocolectomy with ileal reservoir more than six months previously. The haemoglobin was normal in all but one and plasma electrolytes and serum albumin, calcium, phosphorus, and red cell folate estimations were normal in all. Five patients had low serum iron levels of whom one had an iron def...
متن کاملMalignant melanoma of the ileo-anal pouch anastomosis after restorative proctocolectomy for ulcerative colitis: report of a case
A 62 year-old patient with therapy-refractory pouchitis after proctocolectomy for ulcerative colitis was admitted with hematochezia and abdominal discomfort. A malignant melanoma (MM) was found after repeated biopsies of the pouch. Complete staging revealed no evidence for distant metastases and the patient underwent abdominoperineal pouch resection. Six weeks later, the patient was readmitted ...
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ژورنال
عنوان ژورنال: Medical Journal Armed Forces India
سال: 2003
ISSN: 0377-1237
DOI: 10.1016/s0377-1237(03)80141-7