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4 results on '"Pringle W"'

1. Loop ileostomy after ileal pouch-anal anastomosis--is it necessary?

Author

Winslet MC, Barsoum G, Pringle W, Fox K, and Keighley MR

Subjects
Adolescent, Adult, Anastomosis, Surgical, Colectomy, Female, Humans, Intestinal Fistula etiology, Intestinal Obstruction etiology, Length of Stay, Male, Middle Aged, Prospective Studies, Rectum surgery, Anal Canal surgery, Ileostomy adverse effects, Ileum surgery
Abstract

Construction of a loop ileostomy is usually advised in patients having an ileal pouch-anal anastomosis to minimize the complication of chronic pelvic sepsis. Formation and closure of a loop ileostomy was associated with a 41 percent and 30 percent complication rate, respectively, in a prospective series of 34 patients. This morbidity must now be assessed in relation to the benefits of avoiding temporary fecal diversion in restorative proctocolectomy. more...

Published
1991
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2. Analysis of a hospital-based stomatherapy service.

Author

Phillips R, Pringle W, Evans C, and Keighley MR

Subjects
Aged, Colostomy adverse effects, England, Female, Gastrointestinal Diseases surgery, Humans, Ileostomy adverse effects, Male, Middle Aged, Prospective Studies, Reoperation, Colostomy nursing, Ileostomy nursing, Nursing Services statistics & numerical data, Outpatient Clinics, Hospital statistics & numerical data
Abstract

We have analysed the activities of a hospital-based stomatherapy service between 1980 and 1983. The average numbers of patients seen per annum included 395 out-patients, 307 in-patients and 116 home visits. Of the 276 in-patients with colostomies, 72% had underlying malignant disease; 17% were performed as emergencies and 51% were temporary stomas. Hospital mortality for patients with a temporary stoma was 19% and only 59% had their temporary stoma reversed. Only 45% of colostomy patients received preoperative counselling and 11% had no regular follow-up. Complications were recorded at some stage after colostomy in 25% but only 10% required surgical refashioning. Of the 184 in-patients with ileostomies, 52% had ulcerative colitis and 41% had Crohn's disease. Only 13% of ileostomies were performed as emergencies, and only 11% were temporary. In contrast to colostomy, 83% of ileostomy patients received preoperative counselling and adequate follow-up was provided for 98% of patients. Complications were recorded in 57% of patients after ileostomy but surgical reconstruction was needed in only 18%. more...

Published
1985

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3. Loop ileostomy after heal pouch-anal anastomosis—Is it necessary?

Author

Winslet, M. C., Barsoum, G., Pringle, W., Fox, K., and Keighley, M. R. B.

Abstract

Construction of a loop ileostomy is usually advised in patients having an ileal pouch-anal anastomosis to minimize the complication of chronic pelvic sepsis. Formation and closure of a loop ileostomy was associated with a 41 percent and 30 percent complication rate, respectively, in a prospective series of 34 patients. This morbidity must now be assessed in relation to the benefits of avoiding temporary fecal diversion in restorative proctocolectomy. [ABSTRACT FROM AUTHOR] more...

Published
1991
Full Text
View/download PDF

4. Analysis of a hospital-based stomatherapy service

Author

Phillips, R., Pringle, W., Evans, C., and Keighley, M. R.

Subjects
Male, Reoperation, Outpatient Clinics, Hospital, Gastrointestinal Diseases, Ileostomy, Middle Aged, England, Colostomy, Nursing Services, Humans, Female, Prospective Studies, Research Article, Aged
Abstract

We have analysed the activities of a hospital-based stomatherapy service between 1980 and 1983. The average numbers of patients seen per annum included 395 out-patients, 307 in-patients and 116 home visits. Of the 276 in-patients with colostomies, 72% had underlying malignant disease; 17% were performed as emergencies and 51% were temporary stomas. Hospital mortality for patients with a temporary stoma was 19% and only 59% had their temporary stoma reversed. Only 45% of colostomy patients received preoperative counselling and 11% had no regular follow-up. Complications were recorded at some stage after colostomy in 25% but only 10% required surgical refashioning. Of the 184 in-patients with ileostomies, 52% had ulcerative colitis and 41% had Crohn's disease. Only 13% of ileostomies were performed as emergencies, and only 11% were temporary. In contrast to colostomy, 83% of ileostomy patients received preoperative counselling and adequate follow-up was provided for 98% of patients. Complications were recorded in 57% of patients after ileostomy but surgical reconstruction was needed in only 18%. more...

Published
1985