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コンプライアンス及び内圧波と経皮的電気現象よりみたW型回腸嚢の機能評価

フォーマット:
論文(リポジトリ)
責任表示:
丸田, 智章 ; 畠山, 勝義 ; 本間, 信治
出版情報:
新潟医学会, 1997-01
掲載情報:
新潟医学会雑誌 = 新潟医学会雑誌
ISSN:
00290440  CiNii Articles  Webcat Plus  JAIRO
著者名:
巻:
111
通号:
1
開始ページ:
34
終了ページ:
46
バージョン:
publisher
概要:
Ileal pouch anal anastomosis(IPAA)has relieved many patients of Ulcerative colitis and familial adenomatous polyposis coli from their many complaints and made enabled them to defecate transanaly. However, some patients who underwent IPAA st ill have poorly functioning pouches and they suffer from new complaints such as frequent defecation, incontinence and so on. Therefore, functional assessment seems necessary for the ileal W pouch. We measured the compliance and motility of the ileal W pouch. In addition, the electrical activities from the parasacral skin were recorded, if they reflect the motility of the ileal W pouch. These indices were correlated to clinical scores, if they reflect the clinical status. Chord compliance when the subject had the initial or first sensation to evacuate was correlated well with the maximal volume of the ileal W pouch, or with the “permitted volume”(the volume the subject could not tolerate any more to evacuate, minus the minimum volume when the subject had the initial or 1st feeling to defecate). The spectral frequency of the phasic intraluminal wave of the ileal W pouch decreased as the postoperative duration. The clinical score increased as the spectral frequency of the pouch wave decreased. This probably indicates the improved function of the ileal pouch. The motility ileal pouch seemed to be reflected, in some cases, by the electrograph by surface electrodes. 続きを見る
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早見, 守仁

新潟医学会

早見, 守仁

新潟大学医学部

甲斐, 克則(1954-), 田口, 守一(1944-)

信山社

長谷川, 潤

新潟医学会

唐木田, 丈夫

新潟医学会

長谷川, 潤

新潟大学医学部

11 図書 Ulcerative colitis

Goligher, J. C.

Baillière Tindall and Cassell

Jagelman, David, 1939-

Futura Pub. Co.