Anal sphincter replacement is a treatment option for severe anal @entity322 that is not amenable to direct repair. We describe the unusual case of a 25-year-old male who has been successfully treated by implantable artificial sphincter for severe anal @entity322 caused by imperforate anus and concomitant @entity5277 . In early life, the @entity1 underwent several surgical procedures, including a perineal colostomy for a high imperforate anus associated with a @entity292 . At aged 21 years, he underwent a subtotal small-bowel resection and a restorative jejunotransverse @entity254 for @entity7592 related to @entity1518 with @entity3313 . The length of remnant jejunum was 90 cm. Consequently. the @entity1 became permanently incontinent and required nutritional therapy. An artificial sphincter, after the creation of colonic reservoir, was implanted around the pulled-through colon. At two-year follow-up after implantation, despite short remnant bowel, the @entity1 was fully continent without medication. Normal nutritional status was maintained under 100 percent oral nutrition. The @entity1 's quality of life improved dramatically. He has returned to work and had no major restriction in his level of social functioning. Our case illustrates for the first time the original concept of artificial anal artificial sphincter implantation around a pulled-through colon, which constitutes a different situation from disease with rectum in place.

Artificial sphincter with colonic reservoir for severe anal @entity322 because of imperforate anus and XXXX : report of a case.

@entity1 :: ('9606', 'Species') :: ['patient'] @entity322 :: ('MESH:D014549', 'Disease') :: ['incontinence'] @entity3313 :: ('MESH:D045822', 'Disease') :: ['volvulus'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity7592 :: ('MESH:D015882', 'Disease') :: ['acute intestinal necrosis'] @entity292 :: ('MESH:D005402', 'Disease') :: ['rectourethral fistula'] @entity1518 :: ('MESH:C562835', 'Disease') :: ['intestinal malrotation'] @entity5277 :: ('MESH:D012778', 'Disease') :: ['short-bowel syndrome']
@entity5277 :: (MESH:D012778,Disease) :: ['short-bowel syndrome']
