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Topics in Colorectal Disease pp 140–144Cite as

Ileal pouch motility

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Abstract

The diagnosis of pouchitis is made either on clinical symptoms of excessive stool frequency and malaise or macroscopic/microscopic inflammation of the ileal reservoir. However, there is a significant overlap in pouch function or dysfunction between the inflamed and normal pouches. Also our current understanding of pouch motility is based on static measurements of pouch pressure independent of small bowel motility proximally and anal canal motor activity distally. In order to define patterns of pouch motility and establish relationships between motility of the ileal reservoir, the small bowel and the anal canal on one hand and pouch function morphology on the other, we have studied anal manometry, reservoir capacity and compliance and mucosal morphology in 15 patients [7] and ambulatory measurements of small bowel motility, pouch motility and anal canal motility in 8 patients. Static measurements (anal manometry, pouch capacity and compliance) were made using a water filled balloon connected to a pressure transducer and a latex balloon attached to an 8 FG catheter respectively. Ambulant measurements of small bowel, pouch and anal canal manometry were made by a fine (OD 2 mm) catheter-mounted microtransducers. The signal was recorded on audio tape on a portable tape-recorder. The patients were fully ambulant during the study.

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Author information

Authors and Affiliations

  1. Department of Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, B15 2TH, UK

    Mr. D. Kumar

  2. The London Hospital Medical College, Surgical Unit, The London Hospital, Whitechapel, London, E1 1BB, UK

    Professor N. S. Williams

Authors
  1. Mr. D. Kumar
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  2. Professor N. S. Williams
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Editor information

Editors and Affiliations

  1. St. Mark’s Hospital, City Road, EC1V 2PS, London, UK

    R. John Nicholls FRCS, M. Chir.  & John M. A. Northover MS, FRCS  & 

  2. John Radcliffe Hospital, Headington, Oxford, UK

    Neil J. McC. Mortensen MD, FRCS

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© 1991 Springer-Verlag Berlin Heidelberg

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Kumar, D., Williams, N.S. (1991). Ileal pouch motility. In: Nicholls, R.J., Mortensen, N.J.M., Northover, J.M.A. (eds) Topics in Colorectal Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76281-9_23

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  • DOI: https://doi.org/10.1007/978-3-642-76281-9_23

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-53447-1

  • Online ISBN: 978-3-642-76281-9

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