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The Antimesenteric Slit-Reply

The Antimesenteric Slit-Reply This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract To the Editor.—While theoretically the circular muscle of an end colostomy might be expected to produce some sphincteric effect, in actuality it does not. No end colostomy acts as a true sphincter; continence is never present. An end colostomy when primarily matured, with or without an antimesenteric slit, functions the same way. The short antimesenteric slit simply facilitates eversion of a small-diameter colon, so that the colostomy may be fashioned to protrude above skin level as a short nipple. The circular muscle below the slit still produces the same nebulous sphincteric effect that it would if no slit had been made. Any apparent sphincter function arises from the action of the muscles of the abdominal wall through which the colostomy is drawn. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

The Antimesenteric Slit-Reply

Archives of Surgery , Volume 110 (4) – Apr 1, 1975

The Antimesenteric Slit-Reply

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract To the Editor.—While theoretically the circular muscle of an end colostomy might be expected to produce some sphincteric effect, in actuality it does not. No end colostomy acts as a true sphincter; continence is never present. An end colostomy when primarily matured, with or without an antimesenteric slit, functions the same way. The short...
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Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1975.01360100092026
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract To the Editor.—While theoretically the circular muscle of an end colostomy might be expected to produce some sphincteric effect, in actuality it does not. No end colostomy acts as a true sphincter; continence is never present. An end colostomy when primarily matured, with or without an antimesenteric slit, functions the same way. The short antimesenteric slit simply facilitates eversion of a small-diameter colon, so that the colostomy may be fashioned to protrude above skin level as a short nipple. The circular muscle below the slit still produces the same nebulous sphincteric effect that it would if no slit had been made. Any apparent sphincter function arises from the action of the muscles of the abdominal wall through which the colostomy is drawn.

Journal

Archives of SurgeryAmerican Medical Association

Published: Apr 1, 1975

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