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| Format: | Artículo científico |
| Language: | es |
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Sociedad de Cirujanos de Chile
2011
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| Online Access: | https://www.redalyc.org/articulo.oa?id=345531949008 |
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Table of Contents:
- Resultados funcionales del reservorio ileal GUILLERMO BANNURA C. ALEJANDRO BARRERA E. CARLOS MELO L. JAIME CONTRERAS P Medicina Ileal pouch anastomosis proctocolectomy Proctocolectomy with ileal pouch and posterior pouch anal anastomosis is the treatment of choice of severe ulcerative colitis and polyposis. Aim : To evaluate the functional results of ileal pouch anal anastomosis. Material and Methods: Retrospective assessment of all patients subjected to an ileal pouch anal anastomosis. Pouch function was evaluated using Oresland score that goes from 0 or perfect to 15 or bad. Results : During a 10 years period, 35 patients were operated. Ten patients aged 19 to 67 years were treated for an ulcerative colitis and nine, aged 18 to 54 years for a familial adenomatous polyposis. Global complication rate of the procedure was 20%. Late complication rate was 17%. Speci fi c complication rate of the rectal- ileal pouch anastomosis was 6%. Speci fi c late complications of the technique were only observed in six of 20 patients with ulcerative colitis. Pouch failure was observed in two patients (6%). Global Oresland score was 3.2. Seventeen of 22 patients with ulcerative colitis and seven of eight patients with polyposis had a satisfactory or acceptable score. Patients had a mean of 4.4 bowel movements per day (range 1 to 15) without differences according to the underlying disease. Conclusions : Eighty percent of patients subjected to an ileal pouch anal anastomosis reported an Oresland score of less than seven, that is satisfactory in terms of quality of life. 2011 artículo científico 0379-3893 https://www.redalyc.org/articulo.oa?id=345531949008 es http://www.redalyc.org/revista.oa?id=3455 Revista Chilena de Cirugía application/pdf Sociedad de Cirujanos de Chile Revista Chilena de Cirugía (Chile) Num.4 Vol.63