Aggressive Fibromatosis

Studies from P. Ortegadeballon et al further understanding of ileostomy

Aggressive Fibromatosis Library Library Home This article was published in Gastroenterology Week, which you can subscribe to online.

"Long-term results and quality of life with this technique remain unknown. After proctocolectomy, ileal pouch-anal anastomosis was not feasible or had failed in 3 patients (2 with familial adenomatous polyposis and 7 with ulcerative colitis; 40, 4 9, and 50 years of age, respectively). Of these patients, 2 had undergone end ileostomy 7 and 8 years previously. A pouch was created using the left half of the gastric fundus, supplied through the right gastroepiploic vessels; the pouch was anastomosed proximally to the terminal ileum and distally to the anus. Diverting ileostomy was performed in all patients. After a mean follow-up of 6 years, all 3 patients were highly satisfied with the operation and described their quality of life as good. The median stool frequency during the day and night were 6 and 1, respectively. No patient reported incontinence or urgency. Of the 3 patients, 2 had minimal soiling with gastric juice; 1 patient had anastomotic ulcers with bleeding requiring resection with reanastomosis. All of the patients needed long-term proton pump inhibitor therapy and topical perianal treatment to prevent skin burning. Inter-ileoanal gastroplasty is a surgical salvage technique that can avoid a permanent ileostomy," wrote P. Ortegadeballon and colleagues.

The researchers concluded: "The procedure provides a good quality of life for patients with unfeasible or failed ileal pouch. (Surgery 2009;145:568-72.)'."

Ortegadeballon and colleagues published their study in Surgery (Interposition of a gastric pouch between ileum and anus after proctocolectomy: Long-term results in 3 patients. Surgery, 2009;145(5):568-572).

For additional information, contact P. Ortegadeballon, Center Hospital University Bocage, Service Chirurg Digestive Thorac & Cancerol, 1 Blvd. Jeanne Arc, F-21079 Dijon, France.

The publisher's contact information for the journal Surgery is: Mosby-Elsevier, 360 Park Avenue South, New York, NY 10010-1710, USA.

Keywords: France, Dijon, Adenomatous Polyp, Aggressive Fibromatosis, Endocrinology, Gastroenterology, Ileostomy, Proctocolectomy, Quality of Life, Surgery, Ulcerative Colitis.

This article was prepared by Gastroenterology Week editors from staff and other reports. Copyright 2009, Gastroenterology Week via NewsRx.com.