Skip to main content
SpringerLink
Log in

Evacuation pouchography in the evaluation of ileoanal reservoir function

  • Published:
Diseases of the Colon & Rectum

Abstract

Thirty four patients with restorative proctocolectomy and ileoanal pelvic reservoirs were studied by “evacuation pouchography” to determine why only some patients could evacuate spontaneously. The 50 per cent who were able had a significantly shorter distal segment (P<0.02) of mean length (8±3 cm) that filled on straining, compared with those who had to use a catheter to empty the pouch, in whom the distal segment was longer (mean 11±4 cm) and often failed to fill on straining. The longer the distal segment, the more likely it was to be angulated, causing difficulty in passage of the catheter with possible ulceration and stenosis from minor trauma. Stricturing in the distal segment was associated with minor nocturnal leakage. A short distal segment is recommended to allow spontaneous evacuation and avoid the risks of repeated catheterization.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Baker WN. The results of ileorectal anastomosis at St. Mark's Hospital from 1953 to 1968. Gut 1970;11:235–9.

    PubMed  CAS  Google Scholar 

  2. Heppell J, Kelly KA, Phillips SF, et al. Physiological aspects of continence after colectomy, mucosal proctectomy and ileo-anal anastomosis. Ann Surg 1982;195:435–43.

    Article  PubMed  CAS  Google Scholar 

  3. Kock NG. Intra-abdominal “reservoir” in patients with permanent ileostomy. Arch Surg 1969;99:223–31.

    PubMed  CAS  Google Scholar 

  4. Fonkalsrud EW. Total colectomy and endorectal ileal pull-through with internal ileal reservoir for ulcerative colitis. Surg Gynecol Obstet 1980;150:1–8.

    PubMed  CAS  Google Scholar 

  5. Parks AG. Transanal technique in low rectal anastomosis. Proc R Soc Med 1972;65:975–6.

    PubMed  CAS  Google Scholar 

  6. Parks AG, Nicholls RJ. Proctocolectomy without ileostomy for ulcerative colitis. Br Med J 1978;2:85–8.

    Article  PubMed  CAS  Google Scholar 

  7. Parks AG, Nicholls RJ, Belliveau P. Proctocolectomy with ileal reservoir and anal anastomosis. Br J Surg 1980;67:533–8.

    PubMed  CAS  Google Scholar 

  8. Akwari OE, Kelly KA, Phillips P. Myoelectric and motor patterns of continent pouch and conventional ileostomy. Surg Gynecol Obstet 1980;150:363–71.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Instituto Clinica chirugia Poloclinico Gemelli, Rome, Italy

    M. Pescatori M.D.

  2. x-ray Department, Middlexes Hospital, England

    A. Manhire M.B.B.S., B.Sc. M.R.C.P.

  3. St. Mark's Hospital, City Road, EC1V 2PS, London, England

    C. I. Bartram M.B.B.S., M.R.C.P., F.R.C.R. (Consultant Radiologist)

Authors
  1. M. Pescatori M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Manhire M.B.B.S., B.Sc. M.R.C.P.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. C. I. Bartram M.B.B.S., M.R.C.P., F.R.C.R.
    View author publications

    You can also search for this author in PubMed Google Scholar

Additional information

This work was performed at St. Mark's Hospital.

About this article

Cite this article

Pescatori, M., Manhire, A. & Bartram, C.I. Evacuation pouchography in the evaluation of ileoanal reservoir function. Dis Colon Rectum 26, 365–368 (1983). https://doi.org/10.1007/BF02553375

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02553375

Key words

Search

Navigation