III workshop nazionale sulla defecografia: La fisioradiologia delle (neo)ampolle rettali (reservoir ileale, colo-ano-anastomosi, colostomia perineale continente)

Translated title of the contribution: 3rd national workshop on defecography: Functional radiology of the (neo)rectum. (Ileal pouch, colo-anal anastomosis, continent perineal colostomy)

Vittorio Piloni, Luciano Pieri, Fabio Pomerri, Fausto Pittarello, Monica Salvetti, Ermanno Leo, Stefano Brusori, Francesco Bassi, Maria L. Rottoli, Filippo Pucciani, Sergio Lazzini, Renzo Minotto, Claudio Postiglione, Palmino Sacco, Andrea Bernini, Sergio Menchinelli, Mario Pescatori, Cristina Marmorale, Marco Frascio, Gabriella PittoRoberto Grassi, Nicola Genovesi, Marco Basile, Giancarlo Anselmetti, Marco P. Pintor, Loredana Amadio

Research output: Contribution to journalArticle

Abstract

A survey was made in 13 Italian centers with a questionnaire concerning the (a) indications, (b) postoperative complications, (c) functional results and (d) diagnostic imaging modalities related to the making of an ileal or colonic (neo) rectum. Ulcerative colitis (100%), familial polyposis (61.5%) and Crohn's disease (15.3%) were the most common indications for an ileal pouch; rectal cancer (7.96%), chronic inflammatory diseases (15.3%), diverticulosis, rectal prolapse, redundant colon and imperforate anus (7.6% each) were the most common indications for a colonic pouch. Postoperative complications included pelvic abscess (14%), sinus tract/dehiscence (10%) and bowel obstruction (9%). When compared with the S and W variants, the J-shaped ileoanal pouch proved superior because urgency and fecal retention rates were lower (18.4% vs. 44.4% and 23% vs. 28.6%, p <0.01 and p <0.05, respectively), despite slightly more frequent staining episodes (15.8% vs. 11.1%; p <0,05). As for colonic ampullas, fecal retention and provoked evacuation were more frequent in the J pouch and after gracileplasty; urgency and incontinence in the straight colo-anal anastomosis (33.3% vs. 22.2% and 41.6% vs. 33.3%, respectively). The functional outcome was assessed by anal endosonography (available in 4/13 centers), defecography and anorectal manometry. Abnormal findings included: (a) reduced capacity, barium leakage, anal gaping, sphincter damage (urgency and incontinence); (b) barium retention, pouch dilatation, split evacuation, knobs and strictures (fecal retention).

Translated title of the contribution3rd national workshop on defecography: Functional radiology of the (neo)rectum. (Ileal pouch, colo-anal anastomosis, continent perineal colostomy)
Original languageItalian
Pages (from-to)66-72
Number of pages7
JournalRadiologia Medica
Volume91
Issue number1-2
Publication statusPublished - Jan 1996

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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  • Cite this

    Piloni, V., Pieri, L., Pomerri, F., Pittarello, F., Salvetti, M., Leo, E., Brusori, S., Bassi, F., Rottoli, M. L., Pucciani, F., Lazzini, S., Minotto, R., Postiglione, C., Sacco, P., Bernini, A., Menchinelli, S., Pescatori, M., Marmorale, C., Frascio, M., ... Amadio, L. (1996). III workshop nazionale sulla defecografia: La fisioradiologia delle (neo)ampolle rettali (reservoir ileale, colo-ano-anastomosi, colostomia perineale continente). Radiologia Medica, 91(1-2), 66-72.