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KMID : 0365719950110010038
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Journal of Pusan Surgical Society
1995 Volume.11 No. 1 p.38 ~ p.47
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Clinical experience of restorative proctocolectomy and ileal pouch-anal anastomosis
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정갑중
정일권/김형호/최홍조/김영훈/조세헌./김상순
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Abstract
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Between 1990. 11 and 1995. 5,7 patients underwent restorative proctocloectomy for the treatment of chronic ulcerative colitis(n=5) and of familial adenomatous polyposis(n=2) at Dong-A medical center. J-pouch was made in 5 cases and S-pouch in 1
case. In
1 cases no pouch was made. The aim of this study was to review the postoperative course retrospectively in terms of the management of early and late complications and to assess long-term stool frequency(1-7, average=4.4 except for 1 case that was
10
day).
Early major complication was anastomotic dehescence in 2 cases(28.6%), one of whom died of pelvic sepsis (mortality rate : 14.3%), pouchitis(n=1), anovaginal fistula(n=1) and anastomotic stricture(n=1) developed in late postoperative period. All
the
early and late complications except 1 case were managed successfully by adequate drainage and local irrigation. or anal dilatation.
Stool frequency was gradually decreased in number postoperatively(2-4/day by 1 year) espeacially, in 1 case with 4 year follow-up(1/2day).
It is concluded that major early and late complications including anastomotic dehescence and anovaginal fistula can be managed successfully by conservative treatment and long-term stool frequency is clinically acceptable.
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KEYWORD
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