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Titolo:
ILEITIS AFTER COLECTOMY FOR ULCERATIVE-COLITIS OR CARCINOMA
Autore:
HALLAK A; BARATZ M; SANTO M; HALPERN Z; RABAU M; WERBIN N; GILAT T;
Indirizzi:
ICHILOV HOSP,TEL AVIV MED CTR,DEPT GASTROENTEROL,6 WEIZMAN ST IL-64239 TEL AVIV ISRAEL ICHILOV HOSP,TEL AVIV MED CTR,DEPT GASTROENTEROL,6 WEIZMAN ST IL-64239 TEL AVIV ISRAEL TEL AVIV UNIV,SACKLER FAC MED IL-69978 TEL AVIV ISRAEL ICHILOV HOSP,TEL AVIV MED CTR,DEPT PATHOL IL-64239 TEL AVIV ISRAEL ICHILOV HOSP,TEL AVIV MED CTR,DEPT SURG IL-64239 TEL AVIV ISRAEL
Titolo Testata:
Gut
fascicolo: 3, volume: 35, anno: 1994,
pagine: 373 - 376
SICI:
0017-5749(1994)35:3<373:IACFUO>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
ILEAL RESERVOIR; PROCTOCOLECTOMY; ANASTOMOSIS; DRUGS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
A. Hallak et al., "ILEITIS AFTER COLECTOMY FOR ULCERATIVE-COLITIS OR CARCINOMA", Gut, 35(3), 1994, pp. 373-376

Abstract

An ileitis developing years or months after ileostomy was recognised and described many years ago but has rarely been mentioned since. We describe nine patients with a non-specific preanastomotic ileitis that developed years after colectomy in patients operated on for ulcerativecolitis or carcinoma. The disease developed after various types of reconstruction: ileorectal, ileoanal, with or without pouch. The diseased ileum showed inflammation, erosions, ulcerations, and sometimes strictures. The disease course ranged from asymptomatic to severe pain anddiarrhoea. No specific cause could be shown. Granulomas, infectious agents or ischaemic changes were not found. The anastomosis was always patent. Three patients have had numerous episodes of intestinal obstruction presumably because of adhesions. Seven of nine patients were female. The response to steroids, 5-aminosalicyclic acid preparations, and methotrexate was poor, three patients responded well to azathioprine. The condition is not rare and the cause remains unknown.

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Documento generato il 29/03/20 alle ore 15:34:46