caa a22 4500 465762484 CHVBK 20180323111903.0 cr unu---uuuuu 170327e19900301xx s 000 0 eng 10.1007/BF00496149 doi (NATIONALLICENCE)springer-10.1007/BF00496149 Restorative proctocolectomy: a procedure for the district general hospital? [Elektronische Daten] [B. Davidson, J. Thornton-Holmes] Restorative proctocolectomy is widely regarded as the surgical procedure of choice for patients with ulcerative colitis or familial adenomatous polyposis, the majority being carried out within specialised regional centres. The use of this procedure outside such centres has been investigated by reviewing the results from a District General Hospital (DGH) over the 8 year period 1981-1989. Seventeen patients (11 male and 6 female with a median age of 36 years) underwent total coletomy and ileoanal anastomosis with formation of a pelvic reservoir (TC-IA). Fourteen had ulcerative colitis (UC), 2 familial adenomatous polyposis (FAP) and one a colonic and rectal cancer. Three pouch designs were used ("S” in 7, "J” in 8 and "W” in 2) with no operative or perioperative deaths. Further laparotomy was required in two patients for adhesions and pelvic sepsis. Functional results were assessed in 16 patients at a mean of 5 years after surgery. The median daily stool frequency was 5 (range 2-6). Twelve of the 16 patients defaecate spontaneously, 2 regularly self-catheterise and 2 do so occasionally. None of the patients is incontinent of formed or liquid stool but one has occasional soiling. These results suggest that TC-IA may be statisfactorily performed outside a specialised unit. Springer-Verlag, 1990 Davidson B. Surgical Unit, Peterborough District Hospital, Thorpe Road, Peterborough, UK aut Thornton-Holmes J. Surgical Unit, Peterborough District Hospital, Thorpe Road, Peterborough, UK aut International Journal of Colorectal Disease Springer-Verlag 5/1(1990-03-01), 41-43 0179-1958 5:1<41 1990 5 384 https://doi.org/10.1007/BF00496149 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00496149 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Davidson B. Surgical Unit, Peterborough District Hospital, Thorpe Road, Peterborough, UK aut NATIONALLICENCE 700 1- Thornton-Holmes J. Surgical Unit, Peterborough District Hospital, Thorpe Road, Peterborough, UK aut NATIONALLICENCE 773 0- International Journal of Colorectal Disease Springer-Verlag 5/1(1990-03-01), 41-43 0179-1958 5:1<41 1990 5 384 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer