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The effect of diver...
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da Silva, G. M.
(författare)
The effect of diverticular disease on the colonic J pouch
- Artikel/kapitelEngelska2004
Förlag, utgivningsår, omfång ...
Nummerbeteckningar
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LIBRIS-ID:oai:gup.ub.gu.se/50187
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https://gup.ub.gu.se/publication/50187URI
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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OBJECTIVE: The aim of this study was to assess the impact of the diverticular disease (DD) on function and on postoperative complications of the colonic J-pouch (CJP) with pouch-anal anastomosis. METHODS: Patients who underwent a CJP between December 1990 and August 2001, were retrospectively reviewed. The presence of DD in the CJP was assessed on pouchogram prior to ileostomy closure. A questionnaire designed to evaluate the degree of continence (total incontinence score (IS): 0 = worst, 20 = best) and pouch evacuation (total evacuation score (ES): 0 = worst, 28 = best) was used for comparison between patients with DD and those without DD (NDD). RESULTS: Sixty-six patients (47 males; 19 females) with a median age of 68 years (range 28-87 years) were included. The median follow-up period was 22 months (range 2-106 months). Twenty-four patients comprised the DD group and 42 were in the NDD group. The two groups were comparable for age, gender and time from ileostomy closure; all patients with postoperative chemoradiation therapy were in the NDD group. The total ES and IS total did not significantly differ between the two groups with a P-value of 0.11 and 0.09 respectively. Furthermore, there was no significant difference in the total incidence of pouch complications between the two groups (3 strictures, 1 leak, 1 fistula in the NDD group vs. 1 pelvic sepsis in the DD group; P = 0.4). CONCLUSIONS: The presence of DD in a CJP does not seem to impact pouch function or the postoperative complication rate.
Ämnesord och genrebeteckningar
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Aged
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Anal Canal/*physiopathology/*surgery
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*Anastomosis
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Surgical
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Case-Control Studies
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Colonic Pouches/*physiology
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Constriction
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Pathologic/complications/radiotherapy/surgery
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Defecation
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Diverticulum
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Colon/*complications
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Female
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Humans
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Male
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Middle Aged
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*Postoperative Complications
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Rectal Neoplasms/complications/radiotherapy/surgery
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Retrospective Studies
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Kaiser, R.
(författare)
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Börjesson, Lars,1963Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för kirurgi,Institute of Surgical Sciences, Department of Surgery(Swepub:gu)xbolar
(författare)
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Colqhoun, P.
(författare)
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Lobo, C.
(författare)
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Khandwala, F.
(författare)
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Thornton, J.
(författare)
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Efron, J.
(författare)
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Vernava, A. M., 3rd
(författare)
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Weiss, E. G.
(författare)
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Wexner, S. D.
(författare)
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Gervaz, P.
(författare)
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Nogueras, J. J.
(författare)
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Göteborgs universitetInstitutionen för de kirurgiska disciplinerna, Avdelningen för kirurgi
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Colorectal disease6:3, s. 171-51462-8910
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da Silva, G. M.
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Kaiser, R.
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Börjesson, Lars, ...
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Colqhoun, P.
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Lobo, C.
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Khandwala, F.
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visa fler...
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Thornton, J.
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Efron, J.
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Vernava, A. M., ...
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Weiss, E. G.
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Wexner, S. D.
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Gervaz, P.
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Nogueras, J. J.
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visa färre...
- Artiklar i publikationen
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Colorectal disea ...
- Av lärosätet
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Göteborgs universitet