Anal ileostomy; experiences with a new three-stage procedure
| Autor: | Sam Schneider |
|---|---|
| Rok vydání: | 1955 |
| Předmět: |
medicine.medical_specialty
Three stage business.industry Ileostomy General surgery medicine.medical_treatment Rectum Anal Canal Anal canal medicine.disease Ulcerative colitis Malignant disease Surgery medicine.anatomical_structure Ileum medicine Permanent ileostomy Humans business Sigmoidoscope Digestive System Surgical Procedures |
| Zdroj: | A.M.A. archives of surgery. 70(4) |
| ISSN: | 0096-6908 |
| Popis: | Total colectomy until recently has meant a permanent ileostomy. However, several authors* have recommended preservation of the terminal rectum, which is then fulgurated of polyps or stripped of the mucosa in the area accessible to a sigmoidoscope, thus permitting ileosigmoidostomy. Such a procedure is intended to save the terminal rectum and yet prevent the subsequent development of malignant disease therein. In 1947, Ravitch and Sabiston 6 described a one-stage surgical procedure in dogs for accomplishing an anal ileostomy, which they thought might be feasible in man with some modification. Procedures of this type have since been applied to patients with either ulcerative colitis or polypoid adenomatosis by Ravitch and co-workers,† Wangensteen and Toom,‡ Best,§ and Devine and Webb. 14 A summary of the 29 cases of these investigators as tabulated by Best in 1952 13 shows satisfactory results in about half of the patients with ulcerative colitis and in less |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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