Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Diversion colitis in children with colovaginoplasty
Autore:
Syed, HA; Malone, PSJ; Hitchcock, RJ;
Indirizzi:
John Radcliffe Hosp, Dept Paediat Surg, Oxford, England John Radcliffe Hosp Oxford England , Dept Paediat Surg, Oxford, England Southampton Univ Hosp NHS Trust, Dept Paediat Urol, Southampton, Hants, England Southampton Univ Hosp NHS Trust Southampton Hants England Hants, England
Titolo Testata:
BJU INTERNATIONAL
fascicolo: 9, volume: 87, anno: 2001,
pagine: 857 - 860
SICI:
1464-4096(200106)87:9<857:DCICWC>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHAIN FATTY-ACIDS; NEOVAGINA; VAGINOPLASTY; VAGINA; COLON; BOWEL;
Keywords:
colovaginoplasty; diversion colitis; outcome;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Syed, HA 7 Daws Lea, High Wycombe HP11 1QG, Bucks, England 7 Daws Lea High Wycombe Bucks England HP11 1QG G, Bucks, England
Citazione:
H.A. Syed et al., "Diversion colitis in children with colovaginoplasty", BJU INT, 87(9), 2001, pp. 857-860

Abstract

Objective To highlight the occurrence of diversion colitis and its effectsin colovaginoplasty. Patients and methods The records of 18 children who had undergone colovaginoplasty were reviewed retrospectively, Nine patients had andro gen-insensitivity syndrome and three each had congenital adrenal hyperplasia, vaginal agenesis and Mayer-Rokitansky syndrome. Through an abdominoperineal approach a segment of sigmoid colon was isolated on its vascular pedicle and brought to the perineum in the plane between the urethra and rectum, as a blind pouch or as an interposition between the proximal vagina and the perineum, The mean (range) follow-up was 5 (1.5-8) years. Results There were no major complications during the early follow-up. Three patients developed severe vaginal discharge with bleeding 2-7years after colovaginoplasty; examination showed erythema, oedema, ulceration and bleeding. Histology confirmed the classic features of diversion colitis in all three patients. One child responded to vaginal irrigation with a solution ofshort-chain fatty acids, and the other two were treated with steroid enemas and mesalazine after a poor response to short-chain fatty acids. One of these patients has required surgical reduction of an excessively long neovagina. Conclusion Symptomatic diversion colitis can occur after colovaginoplasty. The severity of the symptoms raises concerns about the use of colovaginoplasty in children and alternative techniques of vaginal replacement should be considered iri the first instance.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/20 alle ore 10:14:29