A Method for Clinical Functional Assessment after lleoanal Anastomosis -"The Continence Disturbance Grade"-

Joji Utsunomiya

Second Department of Surgery, Hyogo College of Medicine

As a practical and universal criteria for clinical bowel functional assessment after ileoanal anastomosis, we deviced the "continence disturbance grade (CDG)" which is classified into five categories as follows. CO-1: normal continence, CO-2: nearly normal continence, DC-l: mild dyscontinence, DC-2: moderate dyscontinence and IC: incontinence. They are proportionally correlated with the other parameters such as daily bowel frequency, soiling pattern, noctural defecation, and perianal soreness, use of pad, use of drug, discrimination, and restriction of social ability. In our series of 56 patients including 28 colitis and 28 polyposis who passed 6 months or more after ileoanal anastomosis. 44.6% were CO-1, 25% CO-2, 14% DC-l, 8.7% DC-2 and 7.1% IC. The adverse factors affecting on the continence rate was pelvic sepsis, too short rectal cuff, high age and colitis.

Key words
ileoanal anastomosis, clinical functional assessment, continence disturbance grade

Reprint requests
Joji Utsunomiya Second Department of Surgery, Hyogo college, of Medicine
1-1 Mukogawacho, Nishinomiya, 663 JAPAN

Accepted
May 9, 1990

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