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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:
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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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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6Anastomosis, Surgical - methods
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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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titleElimination of mucosectomy during restorative proctocolectomy in patients with ulcerative colitis may provide better results in low-volume centers
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31Surgical anastomosis
32Surgical Stapling
33Sutures
34Treatment Outcome
35Ulcerative colitis
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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