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The effect of pregnancy and delivery on the ileal pouch-anal anastomosis functions

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Diseases of the Colon & Rectum

Abstract

Since 1981, a total of 729 ileal pouch-anal anastomoses have been performed at the Mayo Clinic-affiliated hospitals. Three hundred fifty-four were in women. Twenty of these patients subsequently had at least one successful pregnancy and delivery. Eleven deliveries were vaginal with episiotomy, and nine were cesarean sections. No maternal deaths occurred. One child died of hyaline membrane disease. The frequency of nocturnal stooling increased in the ileal pouch-anal anastomosis patients during pregnancy (P<.01) and the increase persisted for three months after delivery (P<.05). In contrast, the frequency of daytime stools, the incidence of incontinence, the consistency of the stool, and the development of perineal seepage or skin irritation were not greatly altered by pregnancy or delivery. Moreover, postpartum pouch function was not influenced by the type of delivery (vaginalvs. cesarean section). In conclusion, pregnancy and delivery are safe in patients with the ileal pouch-anal anastomosis, but they lead to more frequent nocturnal stools. The type of delivery (vaginalvs. cesarean section) does not influence pouch functional outcome.

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References

  1. Dozois RR. Restorative proctocolectomy and ileal reservoir. Mayo Clin Proc 1986;61:283–6.

    PubMed  CAS  Google Scholar 

  2. Pemberton JH, Kelly KA, Beart RW, Dozois RR, Wolff BG, Ilstrup DM. Ileal pouch-anal anastomosis for chronic ulcerative colitis: long-term results. Ann Surg 1987;206:504–13.

    Article  PubMed  CAS  Google Scholar 

  3. Metcalf AM, Dozois RR, Kelly KA. Sexual function in women after proctocolectomy. Ann Surg 1986;204:624–7.

    Article  PubMed  CAS  Google Scholar 

  4. Pezim ME. Successful childbirth after restorative proctocolectomy with pelvic ileal reservoir. Br J Surg 1984;71:292.

    Article  PubMed  CAS  Google Scholar 

  5. Metcalf AM, Dozois RR, Beart RW Jr, Wolff BG. Pregnancy following ileal pouch-anal anastomosis. Dis Colon Rectum 1985;28:859–61.

    PubMed  CAS  Google Scholar 

  6. Barwin BN, Harley JG, Wilson W. Ileostomy and pregnancy. Br J Clin Pract 1974;28:256–8.

    PubMed  CAS  Google Scholar 

  7. Snooks SJ, Swash M, Setchell M, Henry MM. Injury to innervation of pelvic floor sphincter musculature in childbirth. Lancet 1984;2:546–50.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Section of Colon and Rectal Surgery, Department of Surgery, Department of Obstetrics and Gynecology, Mayo Clinic and Mayo Foundation, 55905, Rochester, Minnesota

    Heidi Nelson M.D.,  Roger R. Dozois M.D., Keith A. Kelly M.D., George D. Malkasian M.D., Bruce G. Wolff M.D. & Duane M. Ilstrup M.S.

  2. Section of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota

    Heidi Nelson M.D.,  Roger R. Dozois M.D., Keith A. Kelly M.D., George D. Malkasian M.D., Bruce G. Wolff M.D. & Duane M. Ilstrup M.S.

Authors
  1. Heidi Nelson M.D.
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  2. Roger R. Dozois M.D.
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  3. Keith A. Kelly M.D.
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  4. George D. Malkasian M.D.
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  5. Bruce G. Wolff M.D.
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  6. Duane M. Ilstrup M.S.
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Additional information

Read in part at the meeting of the American Society of Colon and Rectal Surgeons, Anaheim, California, June 12 to 17, 1988.

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Nelson, H., Dozois, R.R., Kelly, K.A. et al. The effect of pregnancy and delivery on the ileal pouch-anal anastomosis functions. Dis Colon Rectum 32, 384–388 (1989). https://doi.org/10.1007/BF02563689

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  • DOI: https://doi.org/10.1007/BF02563689

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