J.Jpn. Surg. Soc.. 88(9): 1316-1319, 1987
Report on the annual meeting
AN ASSESSMENT AND A IMPROVED PRACTICAL PROCEDURE OF ILEOANAL ANASTOMOSIS
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Hyogo College of Medicine, Second Department of Surgery, Nishinomiya, Japan Masashi Ohta, Joji Utsunomiya, Takehira Yamamura, Yoshihisa Fujimoto, Hiroyuki Natori, Teruyuki Kuroki, Masamichi Matsumoto |
The practical procedure for IAA consisted of the following basic principles; a direct anastomosis of J-shape ileal pouch to the anal sphincteric mechanism short rectal mucosectomy at prone jack-knife position, anastomosis by meticulous suture and routine use of a divertic loop ileostomy.
After closure of a loop-ileostomy, daily stool frequency rapidly decreases in all of the cases. The delay required for the stool frequency to 6 times or less per day is 1.8 months. And the functional result is assessed by the criteria as reported by Peck. Eighty two per cent of the patients now are enjoying excellent or good functional results.
Among the various postoperative complications, the pelvic sepsis is specific to IAA and the most influencial factor to the cause of the failure. Cuff abscess occurred in 2 patients or 9.0％ of all patients.
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