Ileostomy

Kock, N. G.; Darle, N; Hultén, L.; Kewenter, J; Myrvold, H. E.; Philipson, B. M.

doi:10.1016/s0011-3840(77)80065-8

Cited by 105 publications

(44 citation statements)

References 44 publications

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“…Interestingly, ileal inflammation is nonexistent in unobstructed ileostomies [12]. In fact, ileal inflammation was not even described until about 30 y ago when Kock introduced the concept of the ileal reservoir or continent ileostomy (Kock pouch) as a surgical alternative for patients who had undergone proctocolectomy for CUC or FAP and wished to remain continent [13,14]. It was at that time that ileal pouch inflammation was coined ''pouchitis,'' and it has since remained an enigmatic inflammatory syndrome.…”

Section: Introductionmentioning

confidence: 99%

Stasis Predisposes Ileal Pouch Inflammation in a Rat Model of Ileal Pouch-Anal Anastomosis

Stucchi

Shebani

Reed

et al. 2010

Journal of Surgical Research

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Section: Introductionmentioning

confidence: 99%

Stasis Predisposes Ileal Pouch Inflammation in a Rat Model of Ileal Pouch-Anal Anastomosis

Stucchi

Shebani

Reed

et al. 2010

Journal of Surgical Research

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“…The continent ileostomy, introduced in 1969, allowed for elimination of a protruding stoma and an external appliance and provided a better body image, and thus, improved the quality of life of the patient. [1][2][3][4] After its initial introduction, the continent ileostomy gained wide enthusiasm. The construction of the continent pouch is complex and associated with a high rate of reoperations because of a sliding nipple valve or other related problems.…”

mentioning

confidence: 99%

Continent Ileostomy: Current Experience

Castillo

Thomassie

Whitlow

et al. 2005

Diseases of the Colon &Amp; Rectum

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“…Interestingly, ileal inflammation is nonexistent in unobstructed ileostomies [25][26][27]. In fact, ileal inflammation was not even described until about 30 years ago when Kock introduced the concept of the ileal reservoir or continent ileostomy (Kock pouch) as a surgical alternative for patients who had undergone proctocolectomy for UC or FAP and wished to remain continent [26].…”

Section: Pathophysiologymentioning

confidence: 99%

“…In fact, ileal inflammation was not even described until about 30 years ago when Kock introduced the concept of the ileal reservoir or continent ileostomy (Kock pouch) as a surgical alternative for patients who had undergone proctocolectomy for UC or FAP and wished to remain continent [26]. It was at that time that ileal pouch inflammation was coined ''pouchitis,'' and it has since remained an enigmatic inflammatory syndrome.…”

Section: Pathophysiologymentioning

confidence: 99%

Surgical Prophylaxis of Pouchitis in Ulcerative Colitis

et al. 2010

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Ileal pouch-anal anastomosis (IPAA) is now the procedure of choice for most patients requiring proctocolectomy for ulcerative colitis. The J-shaped pouch, usually 15-20 cm in length, is easiest to construct and has functional outcomes identical to those of the more complex designs. IPAA is a complex procedure, and complications occur frequently. Despite the significant improvements this surgical advance has made on the quality of life in these patients, inflammation of the surgically created ileal pouch or pouchitis remains a major late postoperative complication that can often overshadow the benefits of this otherwise curative operation. Several inflammatory and noninflammatory complications can occur after IPAA. Pouchitis is the most common, occurring in ≈50% of patients. Whereas acute pouchitis can be treated rapidly and successfully in the majority of patients, refractory and chronic pouchitis remain therapeutic challenges to patients and physicians. The problem is believed to be caused by stasis of feces in the pouch with overgrowth of aerobic and anaerobic organisms. The size of the pouch has a significant influence on the incidence of pouchitis: a smaller pouch usually empties better than a larger pouch and so may be less susceptible to pouchitis.

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Ileostomy

Cited by 105 publications

References 44 publications

Stasis Predisposes Ileal Pouch Inflammation in a Rat Model of Ileal Pouch-Anal Anastomosis

Stasis Predisposes Ileal Pouch Inflammation in a Rat Model of Ileal Pouch-Anal Anastomosis

Continent Ileostomy: Current Experience

Surgical Prophylaxis of Pouchitis in Ulcerative Colitis

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