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Elimination of mucosectomy during restorative proctocolectomy in patients with ulcerative colitis may provide better results in low-volume centers

To compare the outcomes of hand-sewn and double-stapling techniques among ulcerative colitis patients undergoing restorative proctocolectomy at a center that has limited experience with restorative proctocolectomy. Forty-four patients with ulcerative colitis were divided into two groups according to... Full description

Journal Title: The American journal of surgery 2003, Vol.185 (3), p.268-272
Main Author: Kayaalp, Cuneyt
Other Authors: Nessar, Gurel , Akoglu, Musa , Atalay, Fuat
Format: Electronic Article Electronic Article
Language: English
Subjects:
Abdomen
Abridged Index Medicus
Adolescent
Adult
Aged
Anastomosis
Anastomosis, Surgical - methods
Biological and medical sciences
Colitis, Ulcerative - surgery
Female
Humans
Inflammatory bowel disease
Intestinal Mucosa - surgery
Length of Stay
Male
Medical sciences
Middle Aged
Mortality
Ostomy
Patient outcomes
Patients
Postoperative Complications
Proctocolectomy, Restorative - adverse effects
Proctocolectomy, Restorative - methods
Prognosis
Restorative proctocolectomy
Retrospective Studies
Sepsis
Stomach, duodenum, intestine, rectum, anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Surgical anastomosis
Surgical Stapling
Sutures
Treatment Outcome
Ulcerative colitis
Quelle: Alma/SFX Local Collection
Publisher: New York, NY: Elsevier Inc
ID: ISSN: 0002-9610
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recordid: cdi_proquest_miscellaneous_73073939
title: Elimination of mucosectomy during restorative proctocolectomy in patients with ulcerative colitis may provide better results in low-volume centers
format: Article
creator:
  • Kayaalp, Cuneyt
  • Nessar, Gurel
  • Akoglu, Musa
  • Atalay, Fuat
subjects:
  • Abdomen
  • Abridged Index Medicus
  • Adolescent
  • Adult
  • Aged
  • Anastomosis
  • Anastomosis, Surgical - methods
  • Biological and medical sciences
  • Colitis, Ulcerative - surgery
  • Female
  • Humans
  • Inflammatory bowel disease
  • Intestinal Mucosa - surgery
  • Length of Stay
  • Male
  • Medical sciences
  • Middle Aged
  • Mortality
  • Ostomy
  • Patient outcomes
  • Patients
  • Postoperative Complications
  • Proctocolectomy, Restorative - adverse effects
  • Proctocolectomy, Restorative - methods
  • Prognosis
  • Restorative proctocolectomy
  • Retrospective Studies
  • Sepsis
  • Stomach, duodenum, intestine, rectum, anus
  • Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
  • Surgery of the digestive system
  • Surgical anastomosis
  • Surgical Stapling
  • Sutures
  • Treatment Outcome
  • Ulcerative colitis
ispartof: The American journal of surgery, 2003, Vol.185 (3), p.268-272
description: To compare the outcomes of hand-sewn and double-stapling techniques among ulcerative colitis patients undergoing restorative proctocolectomy at a center that has limited experience with restorative proctocolectomy. Forty-four patients with ulcerative colitis were divided into two groups according to the anastomosis techniques: hand sewing and double stapling. Postoperative early and late complications, postoperative hospital stay, and long-term functional results were compared. Pelvic sepsis (9% versus 36%, P = 0.03), operation time (median 240 minutes versus 270 minutes, P = 0.01), postoperative hospital stay (median 9 days versus 12 days, P = 0.04), and night incontinence (42% versus 80%, P = 0.07) were less common in the double-stapling group. We recommend the double-stapling technique to centers that do not have extensive experience with restorative proctocolectomy for ulcerative colitis. This technique provides a good postoperative course in most patients and provides satisfactory long-term results. The results of the double-stapling group were similar to the results of the high-volume centers.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0002-9610
fulltext: fulltext
issn:
  • 0002-9610
  • 1879-1883
url: Link


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titleElimination of mucosectomy during restorative proctocolectomy in patients with ulcerative colitis may provide better results in low-volume centers
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descriptionTo compare the outcomes of hand-sewn and double-stapling techniques among ulcerative colitis patients undergoing restorative proctocolectomy at a center that has limited experience with restorative proctocolectomy. Forty-four patients with ulcerative colitis were divided into two groups according to the anastomosis techniques: hand sewing and double stapling. Postoperative early and late complications, postoperative hospital stay, and long-term functional results were compared. Pelvic sepsis (9% versus 36%, P = 0.03), operation time (median 240 minutes versus 270 minutes, P = 0.01), postoperative hospital stay (median 9 days versus 12 days, P = 0.04), and night incontinence (42% versus 80%, P = 0.07) were less common in the double-stapling group. We recommend the double-stapling technique to centers that do not have extensive experience with restorative proctocolectomy for ulcerative colitis. This technique provides a good postoperative course in most patients and provides satisfactory long-term results. The results of the double-stapling group were similar to the results of the high-volume centers.
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1EISSN: 1879-1883
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languageeng
publisherNew York, NY: Elsevier Inc
subjectAbdomen ; Abridged Index Medicus ; Adolescent ; Adult ; Aged ; Anastomosis ; Anastomosis, Surgical - methods ; Biological and medical sciences ; Colitis, Ulcerative - surgery ; Female ; Humans ; Inflammatory bowel disease ; Intestinal Mucosa - surgery ; Length of Stay ; Male ; Medical sciences ; Middle Aged ; Mortality ; Ostomy ; Patient outcomes ; Patients ; Postoperative Complications ; Proctocolectomy, Restorative - adverse effects ; Proctocolectomy, Restorative - methods ; Prognosis ; Restorative proctocolectomy ; Retrospective Studies ; Sepsis ; Stomach, duodenum, intestine, rectum, anus ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Surgical anastomosis ; Surgical Stapling ; Sutures ; Treatment Outcome ; Ulcerative colitis
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descriptionTo compare the outcomes of hand-sewn and double-stapling techniques among ulcerative colitis patients undergoing restorative proctocolectomy at a center that has limited experience with restorative proctocolectomy. Forty-four patients with ulcerative colitis were divided into two groups according to the anastomosis techniques: hand sewing and double stapling. Postoperative early and late complications, postoperative hospital stay, and long-term functional results were compared. Pelvic sepsis (9% versus 36%, P = 0.03), operation time (median 240 minutes versus 270 minutes, P = 0.01), postoperative hospital stay (median 9 days versus 12 days, P = 0.04), and night incontinence (42% versus 80%, P = 0.07) were less common in the double-stapling group. We recommend the double-stapling technique to centers that do not have extensive experience with restorative proctocolectomy for ulcerative colitis. This technique provides a good postoperative course in most patients and provides satisfactory long-term results. The results of the double-stapling group were similar to the results of the high-volume centers.
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1Abridged Index Medicus
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3Adult
4Aged
5Anastomosis
6Anastomosis, Surgical - methods
7Biological and medical sciences
8Colitis, Ulcerative - surgery
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10Humans
11Inflammatory bowel disease
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13Length of Stay
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15Medical sciences
16Middle Aged
17Mortality
18Ostomy
19Patient outcomes
20Patients
21Postoperative Complications
22Proctocolectomy, Restorative - adverse effects
23Proctocolectomy, Restorative - methods
24Prognosis
25Restorative proctocolectomy
26Retrospective Studies
27Sepsis
28Stomach, duodenum, intestine, rectum, anus
29Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
30Surgery of the digestive system
31Surgical anastomosis
32Surgical Stapling
33Sutures
34Treatment Outcome
35Ulcerative colitis
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titleElimination of mucosectomy during restorative proctocolectomy in patients with ulcerative colitis may provide better results in low-volume centers
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1Abridged Index Medicus
2Adolescent
3Adult
4Aged
5Anastomosis
6Anastomosis, Surgical - methods
7Biological and medical sciences
8Colitis, Ulcerative - surgery
9Female
10Humans
11Inflammatory bowel disease
12Intestinal Mucosa - surgery
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15Medical sciences
16Middle Aged
17Mortality
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19Patient outcomes
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28Stomach, duodenum, intestine, rectum, anus
29Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
30Surgery of the digestive system
31Surgical anastomosis
32Surgical Stapling
33Sutures
34Treatment Outcome
35Ulcerative colitis
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atitleElimination of mucosectomy during restorative proctocolectomy in patients with ulcerative colitis may provide better results in low-volume centers
jtitleThe American journal of surgery
addtitleAm J Surg
date2003
risdate2003
volume185
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pages268-272
issn0002-9610
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abstractTo compare the outcomes of hand-sewn and double-stapling techniques among ulcerative colitis patients undergoing restorative proctocolectomy at a center that has limited experience with restorative proctocolectomy. Forty-four patients with ulcerative colitis were divided into two groups according to the anastomosis techniques: hand sewing and double stapling. Postoperative early and late complications, postoperative hospital stay, and long-term functional results were compared. Pelvic sepsis (9% versus 36%, P = 0.03), operation time (median 240 minutes versus 270 minutes, P = 0.01), postoperative hospital stay (median 9 days versus 12 days, P = 0.04), and night incontinence (42% versus 80%, P = 0.07) were less common in the double-stapling group. We recommend the double-stapling technique to centers that do not have extensive experience with restorative proctocolectomy for ulcerative colitis. This technique provides a good postoperative course in most patients and provides satisfactory long-term results. The results of the double-stapling group were similar to the results of the high-volume centers.
copNew York, NY
pubElsevier Inc
pmid12620569
doi10.1016/S0002-9610(02)01376-4