Cruz-Cortés S, Mora-Fol JR, Ruelas-Vargas C, Chávez-Barrera JA

Language: Spanish
References: 12
Page: 156-161
PDF size: 635.40 Kb.

ABSTRACT

Introduction: The intestinal adeomatous polyposis is an autosomal dominant condition characterized by the development of multiple polyps at colon. Without a correct treatment all patients (100%) will present adenocarcinoma. There are many alternatives to the surgical treatment for this disease since Kock at 1973 describes colectomy and permanent ilestomy or proctocolectomy with ileal reservoir.
Materials and Methods: A review of clinical cases of children between 2002 to 2009, in a Medical Center about children who undergoing to total colectomy with ileal reservoir for intestinal adeomatous polyposis.
Results: Were 3 female with 7,13,14 years old. The surgery was colectomy with J or M-pouch. The first patient with manual suture and next predominant with mechanic suture. Our study without morbidity and mortality.
Discusion: There are four alternatives for surgery treatment. Past in our service we had two times for surgery, with manual suture and major possibility for complications as trasoperative hemorrage, surgery duration. However with mechanical suture we had better outcome about evolution for our patients, this is the reason because we recommended this surgery.

REFERENCES

1. Everett WG, Forty J. The functional result of pelvic ileal reservoir in 10 patients with familial adenomatous polyposis. Annals of the Royal College of Surgeons of England 1989 ; 71: 28-30.

2. Fonkalsrud EW. Endorectal ileal pullthrough with isoperistaltic ileal reservoir for colitis and polyposis. Ann Surg 1985; 202(2): 145-152.

3. Sánchez-Santos, De Oca, Parés, et.al. Morbilidad y resultados funcionales a largo plazo de los reservorios ileoanales. Cir Esp 2002; 72(3): 132-6.

4. Fonkalsrud EW, Stelzner M, McDonald N.Construction of an reservoir in patients with a previous straight endorectal ileal pull-through. Ann Surg 1988; 208(1): 50-55.

5. Becker JM,Alexander DP. Colectomy mucosal proctectomy,and ileal pouch-anal anastomosis. A prospective trial of optimal antibiotic management. Ann Surg 1991;213(3):242-47.

6. Coran AG. A personal expeience with 100 consecutive total colectomies and straight ileoanal endorectal pull-throughs for benign disease of the colon and rectum in children and adults. Ann Surg 1990; 212(3): 242-47.

7. Fonkalsrud EW, Loar N. Long-term results after colectomy and endorectal ileal pullthrough procedure in children. Ann Surg 1992; 215(1): 57-62.

8. Duijvendijk P, Slors F, Taat C, et.al. Functional outcome after colectomy and ileorectal anastomosis compared with proctocolectomy and ileal pouch-anal anastomosis in familial adenomatous polyposis. Ann Surg 1999; 230 (5): 648-654.

9. Codina A, Farrés R, Olivet F, et.at. Resultados clínicofuncionales de dos reservorios ileoanales (S-J) en la colitis ulcerosa. Cir Esp 2002; 71(5): 228-31.

10. Durán-Ramos O, Palomares-Chacón U, Pulido-García L, et.al. Proctocolectomía restaurativa con reservorio ileal en “J”. 10 años de experiencia en un centro de especialidades. Cir Ciruj 2005; 73: 185-92.

11. Portillo-Jimenez A, Jimenez-Urueta P, Zaragoza- Arévalo G, Castañeda-Ortiz: R. Ileoproctoanastomosis sin reservorio en poliposis adenomatoidea familiar. Acta Pediatr Mex 2007; 28(4): 128-30.

12. Zárate A, Zúñiga A, Pinedo G, et.al. Reservorio Ileal con anastomosis reservorio anal por colitis ulcerosa: complicaciones y resultados funcionales a largo plazo. Rev med Chile 2008; 136: 467-74.