지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2007.6
- 수록면
- 473 - 477 (5page)
이용수
초록· 키워드
오류제보하기
Purpose; As problem have developed with the right colonic antegrade enema procedure (Malone’s procedure/Monti’s retubularized ileocolostomy),. left colonic antegrade continence enema (LACE) procedure, in which retubularized ileum or sigmoid colon is anastomosed into the sigmoid colon, has gained popularity. The aim of the study was to describe our experience with the LACE procedure.
Methods: We retrospectively reviewed 19 LACE procedures that were performed at the Yonsei University College of Medicine Hospital (Seoul, Korea) from March 2001 to March 2005.
Results: Male-to-female ratio was 11 : 8, with median age of 10 years (range, 3-34 years). Most common diagnosis was meningomyelocele (78.9%, 15/19). The median total follow- up period was 23 months (range, 3~37 months); median antegrade continence enema volume used was 600 ㎖ (range, 250-1,500 ㎖); and median transit time was 30 minutes (range, 15~60 minutes). Patients performed antegrade continence enema with an average of once every 2 days (range, 0.3~3 days). Social continence was achieved in 14 patients (73.7%). Regurgitation of fecal material through stoma was not reported at all in 17 patients (89.5%).
Conclusion: We recommend LACE as the procedure of choice for patients with congenital malformation or any other condition predisposing to fecal incontinence or constipation intractable to conventional treatment.
Methods: We retrospectively reviewed 19 LACE procedures that were performed at the Yonsei University College of Medicine Hospital (Seoul, Korea) from March 2001 to March 2005.
Results: Male-to-female ratio was 11 : 8, with median age of 10 years (range, 3-34 years). Most common diagnosis was meningomyelocele (78.9%, 15/19). The median total follow- up period was 23 months (range, 3~37 months); median antegrade continence enema volume used was 600 ㎖ (range, 250-1,500 ㎖); and median transit time was 30 minutes (range, 15~60 minutes). Patients performed antegrade continence enema with an average of once every 2 days (range, 0.3~3 days). Social continence was achieved in 14 patients (73.7%). Regurgitation of fecal material through stoma was not reported at all in 17 patients (89.5%).
Conclusion: We recommend LACE as the procedure of choice for patients with congenital malformation or any other condition predisposing to fecal incontinence or constipation intractable to conventional treatment.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (14)
참고문헌 신청
1. [학술지(정기간행물)] - Glickman S / 1996 / Bowel dysfunction in spinal cord- injury patients / Lancet 347 : 1651 ~ 1653
2. [학술지(정기간행물)] - Malone PS / 1990 / Preliminary report: the antegrade continence enema / Lancet 336 : 1217 ~ 1218
3. [학술지(정기간행물)] - Schell SR / 1997 / Control of fecal continence: continued success with the Malone procedure / Surgery 122 : 626 ~ 631
4. [학술지(정기간행물)] - Graf JL / 1998 / The antegrade continence enema procedure: a review of literature / J Pediatric Surg 33 : 1294 ~ 1296
5. [학술지(정기간행물)] - Monti PR / 1997 / New techniques for construction of efferent conduits based on the Mitrofanoff principle / Urology 49 : 112 ~ 115
2. [학술지(정기간행물)] - Malone PS / 1990 / Preliminary report: the antegrade continence enema / Lancet 336 : 1217 ~ 1218
3. [학술지(정기간행물)] - Schell SR / 1997 / Control of fecal continence: continued success with the Malone procedure / Surgery 122 : 626 ~ 631
4. [학술지(정기간행물)] - Graf JL / 1998 / The antegrade continence enema procedure: a review of literature / J Pediatric Surg 33 : 1294 ~ 1296
5. [학술지(정기간행물)] - Monti PR / 1997 / New techniques for construction of efferent conduits based on the Mitrofanoff principle / Urology 49 : 112 ~ 115
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UCI(KEPA) : I410-ECN-0101-2013-514-002675543