caa a22 4500 475752929 CHVBK 20180406123529.0 cr unu---uuuuu 170329e20000301xx s 000 0 eng 10.1007/s005950050049 doi (NATIONALLICENCE)springer-10.1007/s005950050049 The incidence and outcome of pelvic sepsis following handsewn and stapled ileal pouch anal anastomoses [Elektronische Daten] [Tsuneo Fukushima, Akira Sugita, Kazutaka Koganei, Masaru Shinozaki] The incidence and outcome of pelvic sepsis was analyzed in 210 patients who underwent restorative proctocolectomy for ulcerative colitis (UC) in 197 patients, and for familial adenomatous polyposis (FAP) in 13 patients. Pelvic sepsis developed in 18 patients (8.6%) and a significantly higher incidence was seen in men than in women, at 13.6% vs 3.7%, respectively (P < 0.05). The incidence of pelvic sepsis in patients with UC complicated by toxic megacolon and/or fulminant colitis was significantly higher that in those without any preoperative complications, at 36.4% vs 7.4% (P < 0.05). The incidence of pelvic sepsis following handsewn anastomosis was significantly higher than that following stapled anastomosis, at 15.6% vs 5.5% (P < 0.05). The outcome of pelvic sepsis in patients with a stapled anastomosis was better than that in those with a handsewn anastomosis. The prognosis of women who developed pelvic sepsis was better than that of men who developed pelvic sepsis. The risk factors predisposing to pelvic sepsis were UC, especially when complicated by toxic megacolon and/or fulminant colitis, and male sex, while a handsewn anastomosis was more vulnerable than a stapled anastomosis. Springer-Verlag, 2000 ulcerative colitis nationallicence familial adenomatous polyposis nationallicence restorative proctocolectomy nationallicence pelvic sepsis nationallicence handsewn anastomosis nationallicence stapled anastomosis nationallicence Fukushima Tsuneo Department of Surgery, Yokohama City Hospital, 56 Okazawa, Hodogaya-ku, 240, Yokohama, Japan aut Sugita Akira Second Department of Surgery, Yokohama City University, 3-46 Urafune-cho, Minami-ku, 232, Yokohama, Japan aut Koganei Kazutaka Department of Surgery, Yokohama City Hospital, 56 Okazawa, Hodogaya-ku, 240, Yokohama, Japan aut Shinozaki Masaru Department of Surgery, Yokohama City Hospital, 56 Okazawa, Hodogaya-ku, 240, Yokohama, Japan aut Surgery Today Springer-Verlag 30/3(2000-03-01), 223-227 0941-1291 30:3<223 2000 30 595 https://doi.org/10.1007/s005950050049 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950050049 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Fukushima Tsuneo Department of Surgery, Yokohama City Hospital, 56 Okazawa, Hodogaya-ku, 240, Yokohama, Japan aut NATIONALLICENCE 700 1- Sugita Akira Second Department of Surgery, Yokohama City University, 3-46 Urafune-cho, Minami-ku, 232, Yokohama, Japan aut NATIONALLICENCE 700 1- Koganei Kazutaka Department of Surgery, Yokohama City Hospital, 56 Okazawa, Hodogaya-ku, 240, Yokohama, Japan aut NATIONALLICENCE 700 1- Shinozaki Masaru Department of Surgery, Yokohama City Hospital, 56 Okazawa, Hodogaya-ku, 240, Yokohama, Japan aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/3(2000-03-01), 223-227 0941-1291 30:3<223 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer