Affiliations 

  • 1 Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur
  • 2 Departments of Pathology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Raia Muda Abdul Aziz, 50300 Kuala Lumpur
Med J Malaysia, 1994 Sep;49(3):310-4.
PMID: 7845289

Abstract

Continent pouch ileostomy is fashioned for patients who need a proctocolectomy. It is usually indicated for cases of ulcerative colitis and familial adenomatous polyposis where the anal sphincter can no longer maintain normal function or has to be removed. A case of familial adenomatous polyposis with features of Gardner's syndrome is reported. The patient presented with carcinoma of the rectum. Abdominoperineal resection followed by completion pancolectomy was performed. A continent pouch ileostomy was fashioned for him. He resumed work as a labourer within six months. The pouch was troublefree, needed to emptied four to six times a day and was fully continent of fluid, flatus and faeces until his demise three years later from liver secondaries. Continent pouch ileostomy is a better alternative than permanent end ileostomy. All care should be taken to rule out the existence of Crohn's disease. It is proposed that continent pouch ileostomy should be offered to patients needing permanent ileostomy if the expertise is available.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.