The role of scintigraphic defecography in the assessment of bowel function after restorative proctocolectomy for ulcerative colitis(148 visite) Selvaggi F, Cuocolo A, Giuliani A, Sciaudone G, Riegler G, Mainolfi C, Caprio MG, Panico M, Fiume I
International Journal Of Colorectal Disease (ISSN: 0179-1958, 0179-1958linking), 2006 Jul; 21(5): 448-452.
Tipo di articolo: Journal Article,
Impact factor: 2.006, Impact factor a 5 anni: 2.63
*** IBB - CNR *** I Division of General Surgery, Second University of Naples, Naples, Italy Department of Biomorphological and Functional Sciences, University Federico II, Institute of Biostructur and Bioimages of the National Council of Research (CNR), Naples, Italy Via Francesco Giordani, 42, 80122 Naples, Italy
Riferimenti:
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Kohler, L. W., Pemberton, J. H., Zinsmesister, A. R., Kelly, K. A., Quality of life after proctocolectomy. A comparison of Brooke ileostomy, Kock pouch and ileal pouch-anal anastomosis (1991) Gastroenterology, 101, pp. 679-684
Goldberg, P. A., Kamm, M. A., Nicholls, R. J., Morris, G., Britton, K. E., Contribution of gastrointestinal transit and pouch characteristics in determining pouch function (1997) Gut, 40, pp. 790-793
O'Connel, P. R., Kelly, K. A., Brown, M. L., Scintigraphic assessment of neorectal function (1986) J Nucl Med, 27, pp. 460-464
Scott, N. A., Pemberton, J. H., Barkel, D. C., Wolff, B. G., Anal and ileal pouch manometric measurements before ileostomy closure are related to functional outcome after pouch-anal anastomosis (1989) Br J Surg, 76, pp. 613-616
Nicholls, R. J., Lubowski, D. Z., Restorative proctocolectomy: The four (W) reservoir (1987) Br J Surg, 74, pp. 564-566
Tuckson, W. B., Fazio, V. W., Functional comparison between double and triple ileal loop pouches (1991) Dis Colon Rectum, 34, pp. 17-21
Groom, J. S., Kamm, M. A., Nicholls, R. J., Relationship of small bowel motility to ileoanal reservoir function (1994) Gut, 35, pp. 523-529
Nasmyth, D. G., Johnston, D., Godwin, P. G. R., Dixon, M. F., Smith, A., Williams, N. S., Factors influencing bowel function after ileal pouch-anal anastomosis (1986) Br J Surg, 73, pp. 469-473
Stryker, S. J., Kelly, K. A., Phillips, S. F., Dozois, R. R., Beart, R. W., Neorectal function after proctocolectomy and ileal pouch-anal anastomosis (1985) Br J Surg, 72 (SUPPL.), pp. S76-S79
Background: The aim of the study was to evaluate the efficiency of defecation in patients with ileal pouch for ulcerative colitis by using the mean of scintigraphic defecography. Methods: Sixteen patients were classified into two groups according to the presence of good (group A) or poor (group B) pouch function. Emptying efficiency was calculated by scintigraphic defecography and measured as percentage of evacuation. This involves the use of up to 200 ml of an artificial stool made up of methyl cellulose paste labeled with 180 MBq of technetium- 99 m (Tc-99 m) methylene diphosphonate. Potential causes of increased frequency in the absence of additional associated symptoms of dysfunction were excluded in all patients. Maximum tolerated volume (MTV) and balloon expulsion tests were also performed on all patients. Results: No patient in both groups showed evidence of organic pouch dysfunction. Percentage of emptying was higher in patients of group A (n=6) than in group B (n=10) (81±9 vs 71±9%, respectively, P
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494 Records (466 escludendo Abstract e Conferenze). Impact factor totale: 1523.784 (1429.337 escludendo Abstract e Conferenze). Impact factor a 5 anni totale: 1691.596 (1568.5 escludendo Abstract e Conferenze).