Ileostomy and excisional surgery for chronic inflammatory disease of the colon: A survey of one hospital region: Part II The health of ileostomists

doi:10.1136/gut.12.7.536

Cited by 12 publications

References 24 publications

(11 reference statements)

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Cancer of the rectum following colectomy and ileorectal anastomosis for ulcerative colitis

Baker

Glass

Ritchie

et al. 1978

British Journal of Surgery

194

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The case notes of all patients treated for ulcerative colitis by colectomy and ileorectal anastomosis at the Gordon Hospital under the care of Mr S. O. Aylett from 1952 to 1976 have been reviewed. Three hundred and seventy-four patients left hospital with an ileorectal anastomosis and have been followed for periods up to 23 years. Twenty-two patients are known to have developed a carcinoma of the rectum. Within 10 years of the onset of the disease, no rectal carcinoma was found in 3534 patient-years. The risk was 1 in 185 patient-years between the tenth and twentieth years and 1 in 115 patient-years between the twentieth and thirtieth years. The cumulative risk was 6 per cent (+/- 2 per cent) at 20 years and 15 per cent (+/- 4 per cent) at 30 years. The need for meticulous follow-up is emphasized. The finding of dysplasia in rectal mucosal biopsies will, it is hoped, identify the patient at particularly high risk and enable rectal excision to be undertaken before carcinoma develops.

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Cancer of the rectum following colectomy and ileorectal anastomosis for ulcerative colitis

Baker

Glass

Ritchie

et al. 1978

British Journal of Surgery

194

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Urinary stones in subjects with a permanent ileostomy

Kennedy

Fletcher

Truelove

1982

British Journal of Surgery

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The prevalence of urinary stones in a group of subjects living with a permanent ileostomy has been determined by intravenous urography. Thirty-nine of the ileostomists had previously suffered from ulcerative colitis, while the remaining 12 suffered from Crohn's disease. Four of the ileostomists who had had ulcerative colitis had urinary stones (10.3 per cent). These four subjects were all male, so that among the 23 male ileostomists who had had ulcerative colitis 17.4 per cent had urinary stones. No urinary stones were found in the ileostomists with Crohn's disease. Various factors thought to be associated with a liability to urolithiasis have been examined in the ileostomists and also in a control group of 39 healthy subjects matched for age and sex with the ileostomists who had had ulcerative colitis. The ileostomists commonly showed a reduced urinary volume, a low urinary sodium and magnesium content and low urinary pH. The ileostomists were much more prone to be hyperuricaemic than the controls, and hyperuricaemia was strongly associated with the presence of urinary stones.

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Gastroenterologie

Schönborn¹

1983

Der Zugang Zum Psychosomatischen Denken

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Ileostomy and excisional surgery for chronic inflammatory disease of the colon: A survey of one hospital region: Part II The health of ileostomists

Cited by 12 publications

References 24 publications

Cancer of the rectum following colectomy and ileorectal anastomosis for ulcerative colitis

Cancer of the rectum following colectomy and ileorectal anastomosis for ulcerative colitis

Urinary stones in subjects with a permanent ileostomy

Gastroenterologie

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