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Case Reports
. 1995 Feb;38(2):215-8.
doi: 10.1007/BF02052456.

Anal sphincteroplasty for incontinence after ileal pouch-anal anastomosis. Report of two cases

J S Thompson  1 , E M Quigley
Affiliations
Case Reports

Anal sphincteroplasty for incontinence after ileal pouch-anal anastomosis. Report of two cases

J S Thompson et al. Dis Colon Rectum. 1995 Feb.

Abstract

Purpose: This report reviews two patients who underwent anal sphincteroplasty to improve continence after ileal pouch-anal anastomosis (IPAA).

Methods: A retrospective study of two patients was performed.

Results: Two patients underwent anal sphincteroplasty after IPAA for incontinence, one diagnosed preoperatively and one postoperatively. Both had had previous anal surgery. Satisfactory continence was achieved in both cases, despite modest changes in manometric studies.

Conclusion: Anal sphincteroplasty should be considered after IPAA. The value of anorectal manometry in this situation is equivocal.

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