| |
| J Pouch Org |
|
J Pouch Group is a support web log (www.j-pouch.org) dedicated to patients who have undergone J-Pouch operation. The web log provides information on the surgical procedure & life after Ulcerative Colitis, Cancer or familial polypsis. |
| |
|
| |
| |
| |
(source: Southern Medical Journal).
More Information (source: Southern Medical Journal).
|
01/01/2003 12:00 AM
|
|
Current Controversies in Pouch Surgery
|
Restorative proctocolectomy with ileal pouch anal anastomosis has become the most commonly used procedure for elective treatment of patients with mucosal ulcerative colitis and familial adenomatous polyposis. Since its original description, the procedure has been modified in an attempt to obtain optimal functional results with low morbidity and mortality, and yet provide a cure for the disease. These modifications of the technique are discussed in this review, limited to the current points of controversy. We reviewed the current literature describing restorative proctocolectomy with ileal pouch anal anastomosis. The current "hot topics" for debate are transanal mucosectomy with hand-sewn anastomosis versus the double-stapled technique, the use of diverting ileostomy, indeterminate colitis, the role of laparoscopy, and indications for pouch surgery in the elderly. Longer follow-up of patients and increased knowledge and experience with pouch surgery, coupled with active prospective evaluation of the procedure are required to settle these issues. Patients must be fully informed to understand inherent risks of each choice.
(C) 2003 Southern Medical Association
|
|
08/01/2006 12:00 AM
|
|
Pediatric Obesity: Impact and Surgical Management
|
The incidence of children in the United States who are overweight or obese is increasing at an alarming rate, and many obesity-related complications are now being described in children. There appears to be no current pharmacologic treatment or surgical procedure that is both safe and effective for millions of obese children. Bariatric surgery may be useful, however, in carefully selected obese children with associated serious comorbidities unresponsive to medical or dietary interventions. The complications of pediatric obesity are discussed, as well as current medical and surgical management of this disorder.
(C) 2006 Southern Medical Association
|
|
|
|
| |
|
|
|
