| |
| Colectomy Pouch |
| Colectomy J Pouch consists of the surgical resection of any extent of colon (large intestine). Colectomy is done in Colon cancer, Ulcerative Colitis, Crohn's disease, Diverticulitis and diverticular disease of the large intestine. |
| |
|
| |
| |
| |
(source: Southern Medical Journal).
More Information (source: Southern Medical Journal).
|
12/31/1969 03:59 PM
|
|
Radiologic Study of the Anastomosis After Right Colectomy
|
There are only a few reports in the literature describing the postoperative radiologic appearance of anastomoses after operation on the colon, and most of these describe the end-to-end anastomosis of a colocolostomy on the left colon. The purpose of this paper is to report the radiologic appearance of the anastomotic site after right colectomy. Sixty patients who had resections of the right colon were studied postoperatively by barium and air contrast enemas and, in some instances, by examinations of the small bowel. Eighteen patients had deformities in and about the anastomotic site which caused some difficulty in interpretation. This was particularly true when a blind pouch was present after a lateral or end-to-side anastomosis and the inverted and of the gut produced an irregular contour. Most of the deformities were recognized on follow-up examinations but one patient required operation to rule out a recurrent tumor. Two patients had recurrent carcinoma at the anastomotic site. Three patients had obstruction of the ileum due to adhesions. It is suggested that a postoperative barium and air contrast enema be done three months after operation to provide a base line, and thereafter annually. If there is any question as to recurrence of disease at the anastomotic site, surgical exploration should be considered. The significance of the investigation was to determine the radiologic appearance oft he anastomotic site in order to have some knowledge of the postoperative changes. If the surgical changes are recognized radiologically, some patients may be spared a needless operation.
(C) 1974 Southern Medical Association
|
|
12/31/1969 03:59 PM
|
|
Current Controversies in Pouch Surgery
|
Restorative proctocolectomy with ileal pouch anal anastomosis has become the most commonly used procedure for elective treatment of patients with mucosal ulcerative colitis and familial adenomatous polyposis. Since its original description, the procedure has been modified in an attempt to obtain optimal functional results with low morbidity and mortality, and yet provide a cure for the disease. These modifications of the technique are discussed in this review, limited to the current points of controversy. We reviewed the current literature describing restorative proctocolectomy with ileal pouch anal anastomosis. The current "hot topics" for debate are transanal mucosectomy with hand-sewn anastomosis versus the double-stapled technique, the use of diverting ileostomy, indeterminate colitis, the role of laparoscopy, and indications for pouch surgery in the elderly. Longer follow-up of patients and increased knowledge and experience with pouch surgery, coupled with active prospective evaluation of the procedure are required to settle these issues. Patients must be fully informed to understand inherent risks of each choice.
(C) 2003 Southern Medical Association
|
|
12/31/1969 03:59 PM
|
|
Synchronous Occurrence of Colorectal Adenocarcinoma and Colonic Gastrointestinal Stromal Tumor
|
Synchronous Occurrence of Colorectal Adenocarcinoma and Colonic Gastrointestinal Stromal Tumor. Gastroenterology Department, Agios Savvas Cancer Hospital (Xinopoulos, Paraskevas)
|
|
|
|
| |
|
|
|
