Àá½Ã¸¸ ±â´Ù·Á ÁÖ¼¼¿ä. ·ÎµùÁßÀÔ´Ï´Ù.

PÇü-ȸÀåÁÖ¸Ó´Ï-Ç×¹®¹®ÇÕ¼ú: º¹±¸Àû ´ëÀåÁ÷ÀåÀüÀýÁ¦¼ú ½Ã »õ·Î¿î ȸÀå ÀúÀ島ÀÇ À¯¿ë¼º The P-pouch: a New Ileal Reservoir Used in Restorative Proctocolectomy

´ëÇÑ´ëÀåÇ×¹®ÇÐȸÁö 2006³â 22±Ç 6È£ p.363 ~ 370
ÀÌÁÖºÀ, À±¼ºÇÊ, ¿À³²°Ç,
¼Ò¼Ó »ó¼¼Á¤º¸
ÀÌÁÖºÀ ( Lee Joo-Bong ) 
ºÎ»ê´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç

À±¼ºÇÊ ( Yun Sung-Pil ) 
ºÎ»ê´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
¿À³²°Ç ( Oh Nahm-Gun ) 
ºÎ»ê´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç

Abstract


Purpose: To evaluate the effectiveness of a P-pouch configuration with a reservoir and recycled segment in restorative proctocolectomy.

Methods: There were 11 patients who underwent the P-pouch procedure. They were compared with healthy eight-control subjects. The P-pouch configuration was constructed using one firing of a 10 cm GIA stapler to form a 12-cm reservoir. Following that, the distal ileum (15¡¾0.5 cm) was anastomosed to the proximal portion of the pouch. Pouch function was studied 23.3¡¾4.4 months after ileostomy closure. We measured the frequency and amount of stool. The postprandial plasma peptide YY (PYY) response and the scintigraphic studies using 99m-Tc sulfur colloid were used to study transit.

Results: In the patient group, daily stool frequency and volume were 5.2¡¾0.3 and 423.5¡¾23.7 g, respectively. Stool seepage and pouchitis occurred in 45.5 % and 9.1%. In contrast to other pouch procedures, the postprandial increment of plasma PYY was similar the P-pouch patients and healthy controls (P£¾0.05). The integrated increment of plasma PYY for 180 minutes following meals was also not decreased in 9-pouch patient group compared with the healthy controls (1,050.0¡¾127.8 pmol/l vs. 1146.0¡¾150.0 pmol/l, P£¾0.05). Small intestinal transit time for healthy controls and the patient group averaged 89¡¾21 and 117¡¾12 minutes (P£¾0.05). The capacity of the ileal pouch was 372¡¾22 ml, and the efficiency of ileal reservoir evacuation was 76 %.

Conclusion: The P-pouch is a new and improved simple modification of the well-established J-pouch procedure, constructed using a single firing of a GIA stapler. J Korean Soc Coloproctol 2006;22:363-370

Å°¿öµå

ȸÀåÇ×¹®¹®ÇÕ¼ú;º¹±¸Àû ´ëÀåÁ÷ÀåÀüÀýÁ¦¼ú;PÇü-ÁÖ¸Ó´Ï;ÆéŸÀ̵åYY
Ileoanal anastomosis;Restorative proctocolectomy;P-pouch;PYY

¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸

 

µîÀçÀú³Î Á¤º¸

KCI
KoreaMed
KAMS