The effect of pregnancy and delivery on the ileal pouch-anal anastomosis functions

摘要: Since 1981, a total of 729 ileal pouch-anal anastomoses have been performed at the Mayo Clinic-affiliated hospitals. Three hundred fifty-four were in women. Twenty these patients subsequently had least one successful pregnancy and delivery. Eleven deliveries vaginal with episiotomy, nine cesarean sections. No maternal deaths occurred. One child died hyaline membrane disease. The frequency nocturnal stooling increased anastomosis during (P less than .01), increase persisted for three months after delivery .05). In contrast, daytime stools, incidence incontinence, consistency stool, development perineal seepage or skin irritation not greatly altered by Moreover, postpartum pouch function was influenced type (vaginal vs. section). conclusion, are safe anastomosis, but they lead to more frequent stools. section) does influence functional outcome.