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| J Pouch Problems |
| J Pouch Problems could occur in the initial stages following the operation. J-pouch may give way to mild incontinence or leakage of stool. The situation fades away with thickening of stool, stretching of pouch & strengthening sphincters. Diarrhea, vomiting, sweating could result in dehydration. Irritated skin outside the anus could cause bleeding. |
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(source: Southern Medical Journal).
More Information (source: Southern Medical Journal).
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12/31/1969 03:59 PM
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Current Controversies in Pouch Surgery
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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
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12/31/1969 03:59 PM
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Anemia After Gastric Bypass: Still a Risky Business?
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Poiatti R, Ghilardi G, et al. Blind pouch syndrome secondary to gastrojejunostomy. Report of a case MA. Anemia following Roux-en-Y surgery for morbid obesity: a review. South Med J 2008;1024-1031
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12/31/1969 03:59 PM
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Anemia Following Roux-en-Y Surgery for Morbid Obesity: A Review
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Morbid obesity is a significant problem in the Western world. Recently, there has been an increase in the number of patients undergoing surgical weight loss procedures. Currently, the most widely performed procedure is the Roux-en-Y gastric bypass operation which combines restriction of food intake with malabsorption of calories and various nutrients, resulting in weight loss and nutritional deficiencies, respectively. Various types of anemia may complicate Roux-en-Y and commonly include deficiencies of iron, folate, and vitamin B12. Iron deficiency is particularly common and may result from many mechanisms including poor intake, malabsorption, and mucosal bleeding from marginal ulceration. However, less appreciated etiologies of nutritional anemia include deficiencies of B-complex vitamins, ascorbic acid, and copper. Replacement of the missing or decreased constituent usually reverses the anemia. Since physicians of various medical and surgical specialties are often involved with the postoperative care of bariatric patients, a review of anemia in this patient population is warranted.
(C) 2008 Southern Medical Association
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12/31/1969 03:59 PM
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Pediatric Obesity: Impact and Surgical Management
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The incidence of children in the United States who are overweight or obese is increasing at an alarming rate, and many obesity-related complications are now being described in children. There appears to be no current pharmacologic treatment or surgical procedure that is both safe and effective for millions of obese children. Bariatric surgery may be useful, however, in carefully selected obese children with associated serious comorbidities unresponsive to medical or dietary interventions. The complications of pediatric obesity are discussed, as well as current medical and surgical management of this disorder.
(C) 2006 Southern Medical Association
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12/31/1969 03:59 PM
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Injuries to The Shoulder in Athletes
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Injuries to The Shoulder in Athletes. In the last ten years, more endoscopic 5. Kibler WB and McMullen J. Scapular dyskinesis and its relation to shoulder pain. J Am Acad Orthop Surg 2003;11:142-151
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