Report of 3 Cases of Pregnancy and Delivery after Ileo-anal Anastomosis due to Familial Adenomatous Polyposis

Takeo Iwama, Mahito Imajo*, Masayuki Enomoto, Masahiro Toyooka, Hiroshi Tomita, Heishun Tei, Hideyuki Ishida, Kuniaki Kitago, Yasuyuki Kawachi, Keigo Yoshinaga, Yoshio Mishima

The Second Department of Surgery, Tokyo Medical and Dental University
*Department of Surgery, Soka City Hospital

Delivery is an important factor by which to evaluate the quality of life of women after ileo-anal anastomosis. We reported three cases of pregnancy and delivery after ileo-anal anastomosis due to familial adenomatous polyposis. Changes of defecational function and complications during pregnancy were evaluated on these three cases. Their maximal resting anal canal pressure was more than 70 cmH₂O (normal, >100 cmH₂O). All deliveries were uneventful with help of cesarian sections, and their indications were transverse position, frequent laparotomy, and laparotomy during pregnancy because of ileus. Their defecational frequency before pregnancy was 6 to 8/day, and they showed no soiling. They showed no exacerbation of their defecational condition during pregnancy. All three newborns were normal. Ileo-anal anastomosis carries pregnancy and delivery safely. Pregnancy and delivery exert no adverse effect on defecational condition after ileo-anal anastomosis. We should pay attention to ileus during pregnancy.

Key words
ileo-anal anastomosis, pregnancy, defecational function

Reprint requests
Takeo Iwama Second Department of Surgery, Tokyo Medical and Dental University
1-5-45 Yushima, Bunkyo-ku, Tokyo, 113 JAPAN

Accepted
September 14, 1994

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