Study of anal function after ileal pouch anal anastomosis with modified double-stapled mucosectomy
10.3760/cma.j.issn.1673-4203.2012.08.005
- VernacularTitle:双吻合器法改进回肠贮袋肛管吻合术后肛门功能的研究
- Author:
Zhiyong ZHANG
;
Yi HAN
;
Moubin LIN
;
Yonggang HE
;
Haobo ZHANG
;
Xingsheng LU
;
Kezhi Lü
;
Lu YIN
- Publication Type:Journal Article
- Keywords:
Ileal pouch anal anastomosis;
Stapled mucosectomy;
Colitis,ulcerative;
Adenomatous polyposis coli;
Anal function
- From:
International Journal of Surgery
2012;39(8):518-521
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the long-term functional outcome after ileal pouch anal anastomosis with modified double-stapled technique.Methods From January 2002 to March 2011,forty-five patients underwent ileal pouch anal anastomosis with modified double-stapled technique.The clinical data of these patients were reviewed.The postoperative anal function was assessed by Kirwan classification and Oresland pouch-specific function score.Results During the median follow-up of 65 months,2 patients with malignant adenomatous polyps died,2 patients were diagnosed dysplasia by biopsy,4 patients developed mild to moderate anastomotic narrowing,1 patient developed persistent anastomotic stricture needing surgical intervention,16 patients developed at least 1 episode of pouchitis.There was no incontinence in these patients,and the median functional Oresland score was 6,3 and 2 after 1 year,2.5 years and 5 years respectively.Conclusion The functional results of ileal pouch anal anastomosis with modified double-stapled technique are promising,with no incontinence in our patients.
