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Restorative proctocolectomy for idiopathic megarectum: Postoperative recovery of hypotonic anal sphincters

Report of two cases

  • Case Reports
  • Published:
Diseases of the Colon & Rectum

Abstract

PURPOSE: Restorative proctocolectomy has been advocated in the treatment of idiopathic megacolon, provided there is normal sphincter function. We report two patients undergoing this procedure, despite abnormal sphincter function. METHODS: Anorectal manometry and detailed symptom review were performed both preoperatively and at various stages postoperatively in two young patients with idiopathic megarectum. RESULTS: Both patients had progressive sphincter recovery postoperatively, shown both manometrically and with symptomatic review. CONCLUSION: Low preoperative sphincter pressures in young patients with idiopathic megarectum may not preclude successful outcome after restorative proctocolectomy.

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Authors and Affiliations

  1. Department of Surgery, I Floor, Royal Hallamshire Hospital, Glossop Road, Sheffield, UK

    S. R. Brown B.Med.Sci., F.R.C.S. &  A. J. Shorthouse B.Sc., M.S., F.R.C.S.

Authors
  1. S. R. Brown B.Med.Sci., F.R.C.S.
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  2. A. J. Shorthouse B.Sc., M.S., F.R.C.S.
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Brown, S.R., Shorthouse, A.J. Restorative proctocolectomy for idiopathic megarectum: Postoperative recovery of hypotonic anal sphincters. Dis Colon Rectum 40, 625–627 (1997). https://doi.org/10.1007/BF02055392

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  • DOI: https://doi.org/10.1007/BF02055392

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