Diseases of the colon and rectum · 1997
Restorative proctocolectomy for idiopathic megarectum: postoperative recovery of hypotonic anal sphincters. Report of two cases.
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Brown S R, Shorthouse A J
Аннотация
PURPOSE: Restorative proctocolectomy has been advocated in the treatment of idiopathic megacolon, provided there is normal sphincter function. We report two patients undergoing this procedure, despite abnormal sphincter function.
METHODS: Anorectal manometry and detailed symptom review were performed both preoperatively and at various stages postoperatively in two young patients with idiopathic megarectum.
RESULTS: Both patients had progressive sphincter recovery postoperatively, shown both manometrically and with symptomatic review.
CONCLUSION: Low preoperative sphincter pressures in young patients with idiopathic megarectum may not preclude successful outcome after restorative proctocolectomy.
METHODS: Anorectal manometry and detailed symptom review were performed both preoperatively and at various stages postoperatively in two young patients with idiopathic megarectum.
RESULTS: Both patients had progressive sphincter recovery postoperatively, shown both manometrically and with symptomatic review.
CONCLUSION: Low preoperative sphincter pressures in young patients with idiopathic megarectum may not preclude successful outcome after restorative proctocolectomy.