PMID- 24972666
OWN - NLM
STAT- MEDLINE
DCOM- 20150625
LR  - 20211021
IS  - 1128-045X (Electronic)
IS  - 1123-6337 (Linking)
VI  - 18
IP  - 11
DP  - 2014 Nov
TI  - Transverse loop colostomy and colonic motility.
PG  - 1029-34
LID - 10.1007/s10151-014-1173-5 [doi]
AB  - BACKGROUND: The motility of the defunctionalized colon, distal to transverse loop 
      colostomy, has never been studied "in vivo." The aim of our study was to evaluate 
      the influence of transverse loop colostomy on colonic motility. METHODS: Thirteen 
      patients were examined before stoma closure by means of clinical evaluation and 
      colonic manometry; we studied both the right and distal colon in both fasting and 
      fed patients in order to detect motor activity. RESULTS: Quantitative and 
      qualitative manometric analyses showed that the diverted colon had motor activity 
      even if no regular colonic motor pattern was observed. The spreading of aboral 
      propagated contractions (PCs) was sometimes recorded from the right colon to the 
      distal colon. The response of the proximal and distal colon to a standard meal, 
      when compared to fasting values, increased more than 40 and 35 %, respectively. 
      Stool and gas ejections from the colostomy were never related to a particular 
      type of colonic motility: Motor quiescence such as PCs was chaotically related to 
      stool escape. CONCLUSIONS: In conclusion, motility of the defunctionalized colon 
      is preserved in patients with transverse loop colostomy.
FAU - Pucciani, F
AU  - Pucciani F
AD  - Department of Surgery and Translational Medicine, University of Florence, Largo 
      Brambilla 3, 50134, Florence, Italy, pucciani@unifi.it.
FAU - Ringressi, M N
AU  - Ringressi MN
FAU - Maltinti, G
AU  - Maltinti G
FAU - Bechi, P
AU  - Bechi P
LA  - eng
PT  - Journal Article
DEP - 20140628
PL  - Italy
TA  - Tech Coloproctol
JT  - Techniques in coloproctology
JID - 9613614
SB  - IM
CIN - Tech Coloproctol. 2014 Nov;18(11):1087-8. PMID: 25037074
MH  - Aged
MH  - Aged, 80 and over
MH  - Colon, Transverse/physiopathology/*surgery
MH  - Colostomy/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - Gastrointestinal Motility/*physiology
MH  - Humans
MH  - Male
MH  - Manometry
MH  - Middle Aged
MH  - Pressure
MH  - Rectal Neoplasms/physiopathology/*surgery
MH  - Retrospective Studies
MH  - Time Factors
EDAT- 2014/06/29 06:00
MHDA- 2015/06/26 06:00
CRDT- 2014/06/29 06:00
PHST- 2014/04/13 00:00 [received]
PHST- 2014/05/22 00:00 [accepted]
PHST- 2014/06/29 06:00 [entrez]
PHST- 2014/06/29 06:00 [pubmed]
PHST- 2015/06/26 06:00 [medline]
AID - 10.1007/s10151-014-1173-5 [doi]
PST - ppublish
SO  - Tech Coloproctol. 2014 Nov;18(11):1029-34. doi: 10.1007/s10151-014-1173-5. Epub 
      2014 Jun 28.