Author/Editor		Repše, S
Title		Pelvini rezervoar ileuma, nadomestek za odstranjeni rektum
Translated title		Pelvic ileal pouch, substitute for the removed rectum
Type		članek
Source		In: Repše S, editor. Zbornik simpozija Proktologija; 2000; Ljubljana. Ljubljana: Klinični center, Kirurška klinika,
Publication year		2000
Volume		str. 134-41
Language		slo
Abstract		Background. Total proctocolectomy with pelvic ileal reservoir is a surgical option for patients with ulcerative colitis (UC) and familial adenomatous polyposis (FAP), curing the disease and avoiding body mutilation with ileostomy. Patients and methods. In the 15-year period, from Jan. 1st 1985 to Dec. 31st 1999, 31 patients underwent total proctocolectomy with pelvic pouch; 21 patients had UC (10 males, 11 females) and 10 FAP (5 males, 5 females). All patients had one stage procedure; most of them with diverting loop ileostomy. Results. There were no serious postoperative complications and mortality. As rule, the diverting ileostomy was closed 6 to 8 weeks after the operation, when X-ray examination proved complete healing of pouch-anal anastomosis. In 3 patients with partial leak of ileoanal anastomosis diverting ileostomy was retained longer, to 4 to 6 months after the first operation. In same patients developing relative stenosis dilating of ileoanal anastomosis was required. In one female patient the removal of pelvic pouch and terminal ileostomy was necessary one year after the first operation. In our patients the frequency of bowel action is various, from 4 to 14 per 24 h. All patients are satisfied with their quality of life. Conclusion. Our results prove that ileal pelvic pouch offers patients who have to undergo total coloproctectomy much better quality of life then classical Brook's or Kok's continent ileostomy.
Descriptors		COLITIS, ULCERATIVE ADENOMATOUS POLYPOSIS COLI PROCTOCOLECTOMY, RESTORATIVE TREATMENT OUTCOME