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Digestive surgery · 2003

Ileocecal valve-preserving ileostomy after total proctocolectomy--a novel technique for ileostomy.

Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Nio Yoshinori, Itakura Masayuki, Yamaguchi Kazushige, Hirahara Noriyuki

Аннотация

BACKGROUND: Although ileoanal anastomosis has become popular for ulcerative colitis, in an emergency situation patients must undergo ileostomy.

AIM: A novel ileocecal valve-preserving ileostomy procedure was devised to reduce high output liquid loss.

METHOD: After total colectomy, the ascending colon was clamped and the terminal ileum and ileocecal valve were isolated from the cecum by dissection. The ileum was then brought out through a conventional ileostomy opening in the abdominal wall.

RESULTS: Two patients with ulcerative colitis underwent ileostomy in this fashion. The stool became solid within 1 week after the start of solid food and their body weight increased by more than 10% 1 year after surgery.

CONCLUSION: This novel procedure may result in an improvement in the quality of life of patients who undergo total proctocolectomy.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты