Treatment of severe actinic rectitis

Detalhes bibliográficos
Autor(a) principal: Rossi,Benedito Mauro
Data de Publicação: 1998
Outros Autores: Nakagawa,Wilson Toshihiko, Fernandes,José Augusto P., Lopes,Ademar, Paegle,Lauma Dzidra
Tipo de documento: Artigo
Idioma: eng
Título da fonte: São Paulo medical journal (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801998000100007
Resumo: BACKGROUND: The authors report the treatment of three female patients with severe actinic rectitis, with stenosis or perforation, submitted to anterior proctosigmoidectomy and transanal coloanal anastomosis. METHODS: In all cases surgery consisted of total proctosigmoidectomy, mucosectomy of the anal canal, lowering of the left colon through the pelvis and transanal anastomosis performed manually at the level of the pectineal line using separate absorbable sutures. A protective intestinal shunt was performed in all cases. RESULTS: The three patients did not present transoperative or immediate postoperative complications, but the first patient developed deep venous thrombosis of the leg that was submitted to successful clinical treatment. The intestinal shunts were later closed in all three cases. Sphincter function was considered very good in the first case and regular in the remaining two. CONCLUSION: The surgical technique utilized was considered to be adequate for the cases reported and is the first option for the maintenance of transit in patients with severe actinic rectitis since the anastomosis is performed using non-irradiated colon with the pectineal line, practically outside the pelvis.
id APM-1_98868417ea3ac3e83ca1ab6a27ab2c5b
oai_identifier_str oai:scielo:S1516-31801998000100007
network_acronym_str APM-1
network_name_str São Paulo medical journal (Online)
repository_id_str
spelling Treatment of severe actinic rectitisActinic rectitisColoanal anastomosisProctitisSurgerySphincter preservationCervix carcinomaBACKGROUND: The authors report the treatment of three female patients with severe actinic rectitis, with stenosis or perforation, submitted to anterior proctosigmoidectomy and transanal coloanal anastomosis. METHODS: In all cases surgery consisted of total proctosigmoidectomy, mucosectomy of the anal canal, lowering of the left colon through the pelvis and transanal anastomosis performed manually at the level of the pectineal line using separate absorbable sutures. A protective intestinal shunt was performed in all cases. RESULTS: The three patients did not present transoperative or immediate postoperative complications, but the first patient developed deep venous thrombosis of the leg that was submitted to successful clinical treatment. The intestinal shunts were later closed in all three cases. Sphincter function was considered very good in the first case and regular in the remaining two. CONCLUSION: The surgical technique utilized was considered to be adequate for the cases reported and is the first option for the maintenance of transit in patients with severe actinic rectitis since the anastomosis is performed using non-irradiated colon with the pectineal line, practically outside the pelvis.Associação Paulista de Medicina - APM1998-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801998000100007Sao Paulo Medical Journal v.116 n.1 1998reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/S1516-31801998000100007info:eu-repo/semantics/openAccessRossi,Benedito MauroNakagawa,Wilson ToshihikoFernandes,José Augusto P.Lopes,AdemarPaegle,Lauma Dzidraeng2008-10-16T00:00:00Zoai:scielo:S1516-31801998000100007Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2008-10-16T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse
dc.title.none.fl_str_mv Treatment of severe actinic rectitis
title Treatment of severe actinic rectitis
spellingShingle Treatment of severe actinic rectitis
Rossi,Benedito Mauro
Actinic rectitis
Coloanal anastomosis
Proctitis
Surgery
Sphincter preservation
Cervix carcinoma
title_short Treatment of severe actinic rectitis
title_full Treatment of severe actinic rectitis
title_fullStr Treatment of severe actinic rectitis
title_full_unstemmed Treatment of severe actinic rectitis
title_sort Treatment of severe actinic rectitis
author Rossi,Benedito Mauro
author_facet Rossi,Benedito Mauro
Nakagawa,Wilson Toshihiko
Fernandes,José Augusto P.
Lopes,Ademar
Paegle,Lauma Dzidra
author_role author
author2 Nakagawa,Wilson Toshihiko
Fernandes,José Augusto P.
Lopes,Ademar
Paegle,Lauma Dzidra
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Rossi,Benedito Mauro
Nakagawa,Wilson Toshihiko
Fernandes,José Augusto P.
Lopes,Ademar
Paegle,Lauma Dzidra
dc.subject.por.fl_str_mv Actinic rectitis
Coloanal anastomosis
Proctitis
Surgery
Sphincter preservation
Cervix carcinoma
topic Actinic rectitis
Coloanal anastomosis
Proctitis
Surgery
Sphincter preservation
Cervix carcinoma
description BACKGROUND: The authors report the treatment of three female patients with severe actinic rectitis, with stenosis or perforation, submitted to anterior proctosigmoidectomy and transanal coloanal anastomosis. METHODS: In all cases surgery consisted of total proctosigmoidectomy, mucosectomy of the anal canal, lowering of the left colon through the pelvis and transanal anastomosis performed manually at the level of the pectineal line using separate absorbable sutures. A protective intestinal shunt was performed in all cases. RESULTS: The three patients did not present transoperative or immediate postoperative complications, but the first patient developed deep venous thrombosis of the leg that was submitted to successful clinical treatment. The intestinal shunts were later closed in all three cases. Sphincter function was considered very good in the first case and regular in the remaining two. CONCLUSION: The surgical technique utilized was considered to be adequate for the cases reported and is the first option for the maintenance of transit in patients with severe actinic rectitis since the anastomosis is performed using non-irradiated colon with the pectineal line, practically outside the pelvis.
publishDate 1998
dc.date.none.fl_str_mv 1998-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801998000100007
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801998000100007
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1516-31801998000100007
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Paulista de Medicina - APM
publisher.none.fl_str_mv Associação Paulista de Medicina - APM
dc.source.none.fl_str_mv Sao Paulo Medical Journal v.116 n.1 1998
reponame:São Paulo medical journal (Online)
instname:Associação Paulista de Medicina
instacron:APM
instname_str Associação Paulista de Medicina
instacron_str APM
institution APM
reponame_str São Paulo medical journal (Online)
collection São Paulo medical journal (Online)
repository.name.fl_str_mv São Paulo medical journal (Online) - Associação Paulista de Medicina
repository.mail.fl_str_mv revistas@apm.org.br
_version_ 1754209259608866816