Restorative proctocolectomy is now widely accepted as the optimum treatment for ulcerative colitis. However, despite improved surgical techniques and increasing experience the functional outcome is not always good. The four most commonly used determinants of clinical function are stool frequency, continence, ability to defaecate spontaneously and the ability to defer defaecation. However, all these parameters of pouch function are entirely subjective and, depending on their expectations, a good to excellent result for one patient may be a fair or even poor result to another. As a result clinicians have included physiological measurements to explain the variations in pouch function. These measurements have included anal manometry, pouch capacity, pouch compliance, motility and pouch scintigraphy. Pouch ecology has also been studied and attempts have been made to correlate pouch ecology with function.


Catheter Fermentation Bromide Barium Dehydration 


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© Springer-Verlag London Limited 1993

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  • D. Kumar

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