@article{oai:niigata-u.repo.nii.ac.jp:00006624,
 author = {Hatakeyama, Katsuyoshi and Yamai, Kensuke and Inoue, Yuichiro and Sakai, Yasuo and Muto, Terukazu},
 issue = {3},
 journal = {Acta medica et biologica, Acta medica et biologica},
 month = {Sep},
 note = {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.},
 pages = {139--146},
 title = {Restorative Proctocolectomy with Ileal W Pouch for Ulcerative Colitis and Familial Adenomatous Polyposis},
 volume = {38},
 year = {1990}
}