2024-03-29T10:09:49Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00006624
2022-12-15T03:39:57Z
453:456
471:537:568:645
Restorative Proctocolectomy with Ileal W Pouch for Ulcerative Colitis and Familial Adenomatous Polyposis
Restorative Proctocolectomy with Ileal W Pouch for Ulcerative Colitis and Familial Adenomatous Polyposis
Hatakeyama, Katsuyoshi
Yamai, Kensuke
Inoue, Yuichiro
Sakai, Yasuo
Muto, Terukazu
Restorative proctocolectomy with an ileal pouch has become an accepted, standard form of surgical treatment for ulcerative colitis and familial adenomatous polyposis. This operation has two aims: to completely resect all of the diseased area and to preserve the anal function, thus avoiding a permanent ileostomy. Five types of pouches have been developed: the S-shaped, J-shaped, H-shaped, W-shaped and the Kock pouch. Of these pouches, the W pouch using 4 loops of terminal ileum provides the largest reservoir volume. Since 1984, we have performed ileal W pouch-anal anastomosis for 25 patients with ulcerative colitis and familial adenomatous polyposis. We have found that the W pouch can maintain both spontaneous defecation and normal anal function without fecal incontinence. There were no patients with serious postoperative complications necessitating the removal of the pouch. Our current operative techniques and the results from these 25 patients are described in this paper.
Niigata University School of Medicine
1990-09
eng
departmental bulletin paper
http://hdl.handle.net/10191/33486
https://niigata-u.repo.nii.ac.jp/records/6624
AA00508361
05677734
Acta medica et biologica
Acta medica et biologica
38
3
139
146
https://niigata-u.repo.nii.ac.jp/record/6624/files/38(3)_139-146.pdf
application/pdf
1.0 MB
2019-08-06