A Pathophysiological Study of Soiling Using Pudendal Motor Nerve Terminal Latency on Patients with Ileal J Pouch-Anal Anastomosis in Childhood.

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  • Tomita Ryouichi
    First Department of Surgery, Nihon University School of Medicine Department of Surgery, The Nippon Dental University
  • Fukuzawa Masahiro
    First Department of Surgery, Nihon University School of Medicine
  • Ikeda Tarou
    First Department of Surgery, Nihon University School of Medicine
  • Koshinaga Tugumichi
    First Department of Surgery, Nihon University School of Medicine
  • Fujisaki Shigeru
    First Department of Surgery, Nihon University School of Medicine
  • Tanjoh Katsuhisa
    First Department of Surgery, Nihon University School of Medicine

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  • 陰部神経伝導時間からみた小児期Ｊ型回腸嚢こう門吻合術後ｓｏｉｌｉｎｇの検討

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We neurophysiologically studied 5 patients-3 boys and 2 girls aged 10-15 years (mean: 13.0 years)-with ulcerative colitis and familial adenomatous polyposis by measureing pudendal motor nerve terminal la-tency and compared results with those for 16 healthy controls-10 boys and 6 girls aged 12-18 years (mean: 15.4 years). One year after closure of the diverting ileostomy, 4patients (80.0%) experiemced a small amount of soiling and had significantly longer pudendal motor nerve terminal latency than 2 years after closure and healthy subjects (p<0.01). Results suggest that soiling in 1 year postoperativelly is due to injury to the puden-dal nerve caused during surgery. Such damage improved 2 years after closure of the diverting ileostomy.

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