Physiologic aspects of continence after colectomy, mucosal proctectomy, and endorectal ileo-anal anastomosis.

@article{Heppell1982PhysiologicAO,
  title={Physiologic aspects of continence after colectomy, mucosal proctectomy, and endorectal ileo-anal anastomosis.},
  author={Jacques Heppell and Keith A. Kelly and Sidney F. Phillips and Robert W. Beart and Robert L Telander and Jean Perrault},
  journal={Annals of surgery},
  year={1982},
  volume={195 4},
  pages={435-43}
}
We examined the physiology of continence in 12 patients at least four months after colectomy, mucosal proctectomy, and endorectal ileo-anal anastomosis for ulcerative colitis and familial polyposis. The mean fecal output (+/-SEM) was 598 +/- 60 gm, passed as 12 +/- 4 movements/24 hr, of which 4 +/- 1 were passed at night. The patients were generally continent during the day and could distinguish gas from stool, but 11 of 12 leaked stools at night. Anal sphincter resting pressures (71 +/- 8 cm… CONTINUE READING
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