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좌측 결장을 이용한 선행성 관장술
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김성민 | - |
dc.contributor.author | 최승훈 | - |
dc.contributor.author | 한상원 | - |
dc.date.accessioned | 2014-12-21T17:30:41Z | - |
dc.date.available | 2014-12-21T17:30:41Z | - |
dc.date.issued | 2007 | - |
dc.identifier.issn | 1226-0053 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/97728 | - |
dc.description.abstract | 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 Colllege 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 ml (range, 250~1,500 ml); 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.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 Colllege 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 ml (range, 250~1,500 ml); 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. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 473~477 | - |
dc.publisher | 대한외과학회 | - |
dc.relation.isPartOf | JOURNAL OF THE KOREAN SURGICAL SOCIETY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 좌측 결장을 이용한 선행성 관장술 | - |
dc.title.alternative | Left Colonic Antegrade Continence Enema: Experience Gained from 19 Cases | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학) | - |
dc.contributor.googleauthor | 김국진 | - |
dc.contributor.googleauthor | 김성민 | - |
dc.contributor.googleauthor | 최승훈 | - |
dc.contributor.googleauthor | 한상원 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A04285 | - |
dc.contributor.localId | A00569 | - |
dc.contributor.localId | A04103 | - |
dc.relation.journalcode | J01893 | - |
dc.identifier.url | http://kiss.kstudy.com/journal/thesis_name.asp?tname=kiss2002&key=2752611 | - |
dc.contributor.alternativeName | Kim, Seong Min | - |
dc.contributor.alternativeName | Choi, Seung Hoon | - |
dc.contributor.alternativeName | Han, Sang Won | - |
dc.contributor.affiliatedAuthor | Han, Sang Won | - |
dc.contributor.affiliatedAuthor | Kim, Seong Min | - |
dc.contributor.affiliatedAuthor | Choi, Seung Hoon | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 72 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 473 | - |
dc.citation.endPage | 477 | - |
dc.identifier.bibliographicCitation | JOURNAL OF THE KOREAN SURGICAL SOCIETY , Vol.72(6) : 473-477, 2007 | - |
dc.identifier.rimsid | 47669 | - |
dc.type.rims | ART | - |
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