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Anal Canal Inflammation After Ileal Pouch-Anal Anastomosis The Need for Treatment Ian C. Lavery, M.D., Mauro T. Sirimarco, M.D., Yehiel Ziv, M.D., Victor W. Fazio, M.D. From the Department of Colo~'ectal Surgery, Cleveland Clinic Foundation, Cleveland, Ohio One technique used during restorative proctocolectomy to were developed to optimize anal canal sensation and prevent loss of continence involves preservation of the anal to eliminate sphincter stretch, which preserve normal canal. This technique retains a small amount of colonic postoperative resting and squeeze pressures. 1~ mucosa and transitional mucosa that may become inflamed or develop dysplastic or neoplastic changes. PURPOSE: This This has been shown to improve continence com- study was designed to determine the presence and severity pared with mucosectomy. 13-15 However, the retained of anal canal inflammation and the need for treatment. large bowel mucosa distal to the stapled anastomosis METHOD: Records of 217 patients with mucosal ulcerative colitis who underwent restorative proctocolectomy with a has the potential to cause symptoms because of per- stapled ileal pouch-anal anastomosis without anal mucosec- sistent inflammation in the preserved anal canal. 16 tomy from 1987 through 1990 were retrospectively re- The purpose of this study is to evaluate the incidence viewed. RESULTS:
Diseases of the Colon & Rectum – Wolters Kluwer Health
Published: Aug 1, 1995
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