Abstract
The marked reluctance to leaving a permanent ileostomy in a child is understandable; too often, however, before surgical therapy is accepted, the patient is permitted to decline to a hopeless state from which restoration is virtually impossible without operation. Endorectal ileal pull-through provides an attractive alternative. From 1972 to 1982 at Children's Hospital, G. Gaslini Institute, Genoa, nine patients with ulcerative colitis and eight patients with familial polyposis received this operation. Results are encouraging and support the more frequent use of this alternative.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Ravitch MM, Sabiston DC. Anal ileostomy with preservation of the sphincter. Surg Gynecol Obstet 1947;84:1095–9.
Ravitch MM. Anal ileostomy with sphincter preservation in patients requiring total colectomy for benign conditions. Surgery 1948;24:170–87.
Soave F. La colon-ano-stomia senza sutura dopo mobilizzazione ed abbassamento extramucoso del retto-sigma. Una nuova technica chirurgica per la terapia della malattia di Hirschsprung. Osped Ital Chir 1963;8:285–94.
Soave F. A new technique for treatment of Hirschsprung's disease. Surgery 1964;46:1007–14.
Boley SJ. New modification of the surgical treatment of Hirschsprung's disease. Surgery 1964;46:1015–7.
von Ekesparre W. Follow up results of the pull-through operation for ulceration colitis in children. Progr Pediatr Surg 1978;7:1–20.
Martin LW, Le Coultre C. Technical considerations in performing total colectomy and Soave endorectal anastomosis for ulcerative colitis. J Pediatr Surg 1978;13:762–4.
Safaie-Shirazi S, Soper RT. Endorectal pull-through procedure in the surgical treatment of familial polyposis coli. J Pediatr Surg 1973;8:711–6.
Zwiren GT, Andrews HG, Caplan DB. Total colectomy with ileoendomuscular pull-through in the treatment of ulcerative colitis in children. J Pediatr Surg 1981;16:174–9.
Telander RL, Smith LS, Marcinek HM, O'Fallon WM, van Heerden JA, Perrault J. Surgical treatment of ulcerative colitis in children. Surgery 1981;90:787–94.
Pemberton JH, Heppel J, Beart RW, Dozois RR, Telander RL. Endorectal ileoanal anastomosis. Surg Gynecol Obstet 1982;155:417–24.
Ferrari BT, Fonkalsrud EW. Endorectal ileal pull-through operation with ileal reservoir after total colectomy. Am J Surg 1978;136:113–20.
Fonkalsrud EW. Total colectomy and endorectal ileal pull-through with internal ileal reservoir for ulcerative colitis. Surg Gynecol Obstet 1980;150:1–8.
Shermeta DW, Helikson MA, Haller JA. Continent ileoanal endorectal pull-through. J Pediatr Surg 1981;16:171–3.
Martin LW, Le Coultre C, Schubert WK. Total colectomy and mucosal protectomy with preservation of continence in ulcerative colitis. Ann Surg 1977;186:477–9.
Schwartz KB, Keating JP, Ternberg JL, et al. Sodium balance following Soave ileo-endorectal pull-through. J Pediatr Surg 1977; 12:945–53.
Binder SC, Miller HH, Deterling RA. Fate of retained rectum after subtotal colectomy for inflammatory disease of the colon. Am J Surg 1976;131:201–3.
Gruner OP, Flatmark A, Naas R, et al. Ileorectal anastomosis with ulcerative colitis: results in 57 patients. Scand J Gastroenterol 1975;10:641–6.
Hermann I, Beck R, Greenstein AJ. Familial polyposis coli: management by total colectomy with preservation of continence. Arch Surg 1978;113:1104–6.
Author information
Authors and Affiliations
Additional information
Dr. Soave died on September 26, 1984.
Read at the Joint Meeting of the American Society of Colon and Rectal Surgeons with the Section of Colo-Proctology, Royal Society of Medicine, and the Section of Colonic and Rectal Surgery, Royal Australasian College of Surgeons, New Orleans, Louisiana, May 6 to 11, 1984.
About this article
Cite this article
Soave, F. Endorectal ileal pull-through for ulcerative colitis and polyposis in children. Dis Colon Rectum 28, 76–80 (1985). https://doi.org/10.1007/BF02552647
Issue Date:
DOI: https://doi.org/10.1007/BF02552647