| Ann Surg. 1989 December; 210(6): 787–791. | PMCID: PMC1357873 |
Ultrasonic mucosal proctectomy in patients with ulcerative colitis. T M Heimann, G Slater, R J Kurtz, A Szporn, and A J Greenstein Department of Surgery, Mount Sinai School of Medicine, City University of New York, New York 10029. Abstract A technique for performing mucosal proctectomy in patients with ulcerative colitis using ultrasonic fragmentation is described. Twenty-eight patients undergoing colectomy and ileoanal anastomosis were studied. Removal of the mucosal layer of the distal rectum was performed using a titanium probe vibrating at 23 kHZ with an amplitude of 300 microns. This method produces complete mucosal destruction and the resulting debris and irrigating fluid is removed through the hollow central portion of the probe. Healing of the ileoanal anastomosis does not appear to be adversely affected by the use of this technique. Because ultrasonic fragmentation is not dependent on the integrity of the submucosal plane, it may be advantageous in those cases in which severe inflammation and submucosal scarring make manual dissection of the rectal mucosa difficult to perform. Full text Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (964K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References. Images in this article Click on the image to see a larger version. These references are in PubMed. This may not be the complete list of references from this article. - Martin, LW; LeCoultre, C; Schubert, WK. Total colectomy and mucosal proctectomy with preservation of continence in ulcerative colitis. Ann Surg. 1977 Oct;186(4):477–480. [PubMed]
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