Impact of anal manipulation and pouch design on ileal pouch function.

  title={Impact of anal manipulation and pouch design on ileal pouch function.},
  author={Wayne B Tuckson and M J McNamara and Victor Warren Fazio and Ian C. Lavery and John Oakley},
  journal={Journal of the National Medical Association},
  volume={83 12},
The frequency of defecation, leakage, maximum resting pressure, and maximum squeeze pressure of the anal canal, maximum tolerated volume, and pouch compliance were evaluated in 116 consecutive patients following total proctocolectomy (TPC) with ileal pouch anal anastomosis (IPAA) and after temporary ileostomy closure. Sixty-nine patients had a double ileal loop pouch ("J") and 47 a triple ("S") design. Seventy patients had mucosal proctectomy and hand-sewn IPAA (mucosectomy) and 46 a stapled… CONTINUE READING

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