개인구독
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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.83 No.2
- 발행연도
- 2012.8
- 수록면
- 88 - 91 (4page)
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초록· 키워드
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Purpose: The use of barium enemas to confirm the anastomotic integrity prior to ileostomy closure is still controversial. The purpose of the study was to determine the utility of routine contrast enema prior to ileostomy closure and its impact on patient management in patients with a low pelvic anastomosis. Methods: One hundred forty-five patients had a temporary loop ileostomy constructed to protect a low colorectal or coloanal anastomosis following low anterior resection for rectal cancer. All patients were evaluated by physical examination, proctoscopy, and barium enema prior to ileostomy closure. Results: The median time from ileostomy creation to closure was 8 months. Five (3.5%) of the 144 patients were found to have clinically relevant strictures at the colorectal anastomosis on routine barium enema. One patient (0.7%) showed anastomotic leak on their barium enema. Overall, 141 patients (97.9%) had an uncomplicated postoperative course. Postoperative complication occurred in three patients (2.1%). None of them showed abnormal barium enema finding, which suggested that routine contrast enema examination did not predict postoperative complication. Conclusion: Routine barium enema evaluation of low pelvic anastomoses before loop ileostomy closure did not provide any additional information for postoperative colorectal anastomotic complication.
목차
INTRODUCTION
METHODS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES
참고문헌 (16)
참고문헌 신청
1. [학술지(정기간행물)] - MacFarlane JK / 1993 / Mesorectal excision for rectal cancer / Lancet 341 : 457 ~ 460
2. [학술지(정기간행물)] - Williams N / 1998 / Physiological and functional outcome following ultra-low anterior resection with colon pouch-anal anastomosis / Br J Surg 85 : 1029 ~ 1035
3. [학술지(정기간행물)] - Karanjia ND / 1994 / Leakage from stapled low anastomosis after total mesorectal excision for carcinoma of the rectum / Br J Surg 81 : 1224 ~ 1226
4. [학술지(정기간행물)] - Arbman G / 1996 / Local recurrence following total mesorectal excision for rectal cancer / Br J Surg 83 : 375 ~ 379
5. [학술지(정기간행물)] - Horgan AF / 2000 / Preoperative staging of rectal cancer allows selection of patients for preoperative radiotherapy / Br J Surg 87 : 575 ~ 579
2. [학술지(정기간행물)] - Williams N / 1998 / Physiological and functional outcome following ultra-low anterior resection with colon pouch-anal anastomosis / Br J Surg 85 : 1029 ~ 1035
3. [학술지(정기간행물)] - Karanjia ND / 1994 / Leakage from stapled low anastomosis after total mesorectal excision for carcinoma of the rectum / Br J Surg 81 : 1224 ~ 1226
4. [학술지(정기간행물)] - Arbman G / 1996 / Local recurrence following total mesorectal excision for rectal cancer / Br J Surg 83 : 375 ~ 379
5. [학술지(정기간행물)] - Horgan AF / 2000 / Preoperative staging of rectal cancer allows selection of patients for preoperative radiotherapy / Br J Surg 87 : 575 ~ 579
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UCI(KEPA) : I410-ECN-0101-2014-514-001417161