Abstract
A method for constructing a continent colostomy has been tried in dogs. The pylorus sphincter with blood supply by the left gastroepiploic vessels was transposed around or anastomosed to the terminal abdominal colostomy in five dogs. One dog had a colostomy without pylorus transplantation. Evaluation was by clinical (consistency and weight of fecal material and number of defecations per day), radiologic, and manometry studies. There was no difference in the clinical data. In all the dogs, the radiologic study demonstrated emptying of the contrast medium to the peristomal skin. By manometry one high-pressure zone was demonstrated, and, in all dogs with a transposed or anastomosed pyloric segment, the average resting pressure was superior to that of the control dog. However, the transposed pylorus sphincter alone was not sufficient to control continence.
Similar content being viewed by others
References
Drake DB, Pemberton JH, Beart RW Jr, Dozois RR, Wolff BG. Coloanal anastomosis in the management of benign and malignant rectal disease. Ann Surg 1987;206:600–5.
Parks AG, Percy JP. Resection and sutured colo-anal anastomosis for rectal carcinoma. Br J Surg 1982;69:301–4.
Stryker SJ, Phillips SF, Dozois RR, Kelly KA, Beart RW Jr. Anal and neorectal function after ileal pouchanal anastomosis. Ann Surg 1986;203:55–61.
Ceulemans G. Colostomie continente. Chirurgie 1977;103:491–8.
Kock NG, Myrvold HE, Philipson BM, Svaninger G, Ojerskog B. Continent cecostomy: an account of 30 patients. Dis Colon Rectum 1985;28:705–8.
Schmidt E, Bruch HP. Traitement chirurgical des incontinences sphinctériennes intestinales par autotransplant libre de musculature lisse. J Chir (Paris) 1981;118:315–20.
Wong SK, Wee JT. Reconstruction of an orthotopic functional anus after abdominoperineal resection. Aust N Z J Surg 1984;54:575–8.
Baumel H, Deixonne B. Obturateur magnétique externe pour colostomies: utilisation chez 36 colostomisés. Méd Chir Dig 1982;11:211–3.
Khubchandani IT, Trimpi HD, Sheets JA, Stasik JJ Jr, Balcavage CA. The magnetic stoma device: a continent colostomy. Dis Colon Rectum 1981;24:344–50.
Cavina E, Seccia M, Evangelista G,et al. Construction of a continent perineal colostomy by using electrostimulated gracilis muscles after abdominoperineal resection: personal technique and experience with 32 cases. Ital J Surg Sci 1987;17:305–14.
Satava RM, King GE. An artificial anal sphincter: phase 2: implantable sphincter with a perineal colostomy. J Surg Res 1989;46:207–11.
Heiblum M, Cordoba A. An artificial sphincter: a preliminary report. Dis Colon Rectum 1978;21:562–6.
Kock NG, Geroulanos S, Hahnloser P, Schauwecker H, SÄuberli H. Continent colostomy: an experimental study in dogs. Dis Colon Rectum 1974;17:727–34.
Lagache G, Triboulet JP. Recherche d'une continence des colostomies par autogreffon musculaire lisse. Chirurgie 1982;108:765–9.
Author information
Authors and Affiliations
Additional information
This investigation was supported by the Ligue Contre le Cancer de l'Herault.
About this article
Cite this article
Neto, A.A.C., Veyrac, M., Briand, D. et al. Autotransplantation of the pylorus sphincter at the terminal abdominal colostomy. Dis Colon Rectum 34, 874–879 (1991). https://doi.org/10.1007/BF02049700
Issue Date:
DOI: https://doi.org/10.1007/BF02049700