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図書 |
図書
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J. C. Goligher .....[et al.]
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| 2.
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図書
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edited by David G. Jagelman
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図書
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Z.T. Bercovitz ... [et al.]
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| 4.
図書 |
図書
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edited by F.T. de Dombal ... [et al.]
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| 5.
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図書
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[edited by] Theodre M. Bayless.
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| 6.
図書 |
図書
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edited by Joseph B. Kirsner, Roy G. Shorter
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| 7.
論文(リポジトリ) |
論文(リポジトリ)
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早見, 守仁
概要:
Using a Barostat system, we have observed the volume responses to distention of ileal W pouch and evaluated the tone and visceral sensitivity in 13 patients with post-operative ulcerative colitis (mean age, 30. 3,). A Barostat system
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assembly was positioned anally into the ileal W pouch. We distended the ileal W pouch with the balloons by 2 mmHg increments for 2 min. applied every 1 min. and compliance of the pouch was measured. Patients declared the threshold of distending perception, threshold sense of defecation and defecating urgency. Furthermore, patients answered our formatted questions about postoperative outcome of functional scores. We concluded that 1 ) the compliance when patients declared threshold sense of defecation correlated well with the maximally tolerable volume for defecation, and it reflected the capacity of reserving stool, 2 ) the function of the ileal pouch has improved with postoperative period, and 3) the improvement of subjective functional scores were associated with compliance increase of the ileal pouch and decrease of PVEs /hour (phasic volume events/hour).
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| 8.
論文(リポジトリ) |
論文(リポジトリ)
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長谷川, 潤
概要:
The electrical activity and intraluminal pressure of the ileal W pouch were recorded in 17 patients who underwent surgery for ulcerative colitis. The bipolar electrode was attached on the parasacral region, and the intraluminal
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pressure of the ileal W pouch was recorded by means of an open-tip catheter (12 and 9 cm proximal from anus) for 30 minutes prior and following feeding. Spectral analysis by maximal entropy method was performed every 128 sec. Both spectrally analyzed electrical and pressure waves were piled up to make the running spectra. Spectral peaks of averaged spectra were found at 2.8 cycle per minute (cpm) and 8.1 cpm in pressure waves at 12 cm from anus. Those were found at 7.8 cpm in pressure waves at 9 cm from anus. Spectral peaks of the electrical activity were found at 1.4 cpm and 7.3 cpm. Therefore, spectral peak values were similar between intraluminal pressure and electrical waves which were thought to be the BER (basic electrical rhythm) in the terminal ileum. It was suggested that electrical activity reflecting pressure changes of the ileal W pouch could be recorded by surface electrodes on the parasacral skin.
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| 9.
論文(リポジトリ) |
論文(リポジトリ)
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丸田, 智章 ; 畠山, 勝義 ; 本間, 信治
概要:
Ileal pouch anal anastomosis（IPAA）has relieved many patients of Ulcerative colitis and familial adenomatous polyposis co
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li from their many complaints and made enabled them to defecate transanaly. However, some patients who underwent IPAA still 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.
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