2006
DOI: 10.1007/s00384-005-0036-y
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The role of scintigraphic defecography in the assessment of bowel function after restorative proctocolectomy for ulcerative colitis

Abstract: In patients with ileal pouch for ulcerative colitis, increased frequency of defecation without any evidence of pouch dysfunction may be correlated with an alteration of emptying efficiency. Scintigraphic defecography is appropriate to use for investigation of this condition with no disadvantages for the patients.

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Cited by 14 publications
(8 citation statements)
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“…CD and UC are the two principal IBD, which can affect people at any age and are characterised by a remitting-relapsing course [1] , [2] , [3] , [4] , [5] , [6] , [7] , [8] , [25] , [26] , [27] , often requiring medical, surgical, or combined approaches [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] . Etiopathogenesis of IBD relies on complex interactions between autoimmune mechanisms and environmental factors, which have not been fully understood [1] , [25] , [26] .…”
Section: Discussionmentioning
confidence: 99%
“…CD and UC are the two principal IBD, which can affect people at any age and are characterised by a remitting-relapsing course [1] , [2] , [3] , [4] , [5] , [6] , [7] , [8] , [25] , [26] , [27] , often requiring medical, surgical, or combined approaches [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] . Etiopathogenesis of IBD relies on complex interactions between autoimmune mechanisms and environmental factors, which have not been fully understood [1] , [25] , [26] .…”
Section: Discussionmentioning
confidence: 99%
“…An S-or H-shaped pouch is more likely to cause OO. [32][33][34][35][36][37][38] Success rates after salvage for OO complications range between 30 and 100%. 12,22,26,30,39 Subsequent malfunctioning is more frequently associated with redo pouch compared with preservation and revision of the former reservoir.…”
Section: Structural and Mechanical Complicationsmentioning
confidence: 99%
“…39 Excessive pouch enlargement, due to fashioning of a large reservoir (Figure 3), can lead to dysfunction because of incomplete emptying. 23 Imaging (Figure 2 Supplementary Video 1; Figure 3) 38 and physiological investigations are useful tools to assess pouch function and the results of salvage. For a small-volume reservoir, abdominal pouch salvage with pouch enlargement can reduce bowel frequency and rescue the pouch.…”
Section: Structural and Mechanical Complicationsmentioning
confidence: 99%
“…Selvaggi et al used scintigraphic defecography to evaluate the efficiency of defecation in 16 patients with severe ulcerative colitis bearing an ileal pouch (80). The patients were classified into 2 groups according to the presence of good (group A) or poor (group B) pouch function, percentage emptying being higher in group A than in group B (81% 6 9% vs. 71% 6 9%, P , 0.05), although the mean maximum tolerated volume was similar in the 2 groups.…”
Section: Scintigraphic Defecographymentioning
confidence: 99%