An alternative technique of restorative proctocolectomy, by means of straight @entity254 with @entity156 (SIAM) of the terminal ileum in 15 @entity1 , nine with @entity1412 ( @entity1412 ) and six with @entity31 ( @entity31 ) is reported. SURGICAL TECHNIQUE: Eight to ten @entity3057 (3-4 cm long, on three different circumferential sites) were performed on the terminal ileum for a total length of 12-14 cm. CLINICAL RESULTS: At a mean follow up of 44 months (range 3-84 months) from the closure of the ileostomy, daytime continence was achieved in all the @entity1 ; stool frequency per 24 hours (+/- SD) was 4.1 +/- 1.8 for @entity1412 @entity1 and 5.8 +/- 1.7 for @entity31 @entity1 ; nocturnal defecation was 1.0 +/- 0.5 and 1.2 +/- 0.8 for @entity1412 and @entity31 @entity1 respectively; frequent nocturnal soiling was present in 2/5 of @entity31 @entity1 , and in 3/9 of @entity1412 @entity1 . SIAM failed in one @entity31 @entity1 that was converted to an ileoanal reservoir because of poor functional result. Signs of @entity32 were never observed at endoscopic examination. Histopathological assessment showed no evidence of acute @entity30 . MANOMETRIC FINDINGS: A significant postoperative reduction in anal resting pressure was observed after SIAM. Neither the absence of anal inhibitory reflex nor the presence of high pressure waves generated in the terminal ileum during air insufflation were related to the presence of soiling. The closure of the loop ileostomy was followed by an increased capacity and distensibility of the terminal ileum. Values of neorectal compliance were similar in @entity1412 and @entity31 @entity1 although @entity1412 @entity1 were able to reach higher values of maximum tolerated volume and pressure. CONCLUSIONS: 1) SIAM can be an alternative to pelvic pouch in @entity1 who have undergone restorative proctocolectomy when the construction of the pouch is not feasible. 2) The functional result observed after SIAM has been shown to be similar to that observed after pouch construction.

Straight XXXX with multiple ileal myotomies as an alternative to pelvic pouch.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity32 :: ('MESH:D007249', 'Disease') :: ['ileal mucosal inflammation'] @entity254 :: ('MESH:C563598', 'Disease') :: ['ileoanal anastomosis'] @entity31 :: ('MESH:D003093', 'Disease') :: ['ulcerative colitis', 'UC'] @entity156 :: ('MESH:D000015', 'Disease') :: ['multiple myotomies'] @entity1412 :: ('MESH:D011125', 'Disease') :: ['familial adenomatous polyposis', 'FAP'] @entity30 :: ('MESH:D003424', 'Disease') :: ['terminal ileitis'] @entity3057 :: ('MESH:D017887', 'Disease') :: ['longitudinal myotomies']
@entity254 :: (MESH:C563598,Disease) :: ['ileoanal anastomosis']
