{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T13:30:04Z","timestamp":1770903004570,"version":"3.50.1"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[1993,8,1]],"date-time":"1993-08-01T00:00:00Z","timestamp":744163200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1993,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Twenty-seven patients developed a fistula after 168 restorative proctocolectomies. Thirteen fistulas were enterocutaneous (two with communication to the bladder); their origins were from the pouch (three patients), the ileoanal anastomosis (three), the pouch appendage (three), a previous loop ileostomy (two) and iatrogenic small bowel injury (two). Two patients had Crohn's disease. The pouch was removed in four patients, one of whom died from chronic small bowel obstruction; the remaining nine have satisfactory pouch function after fistula excision. Ten pouch\u2013vaginal fistulas occurred, all from the ileoanal anastomosis; four were extrasphincteric. Four of these patients had underlying Crohn's disease. Only two patients, with Crohn's disease and indeterminate colitis, required pouch excision; the remainder have good pouch function after treatment of the fistula. There were three pouch\u2013perineal fistulas, all from the ileoanal anastomosis; these were successfully managed by seton fistulotomy. There was one pouch\u2013vesical fistula, successfully treated by excision of the fistula and pouch appendage.<\/jats:p>","DOI":"10.1002\/bjs.1800800849","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T19:27:00Z","timestamp":1172950020000},"page":"1065-1067","source":"Crossref","is-referenced-by-count":75,"title":["Fistula complicating restorative proctocolectomy"],"prefix":"10.1093","volume":"80","author":[{"given":"M R B","family":"Keighley","sequence":"first","affiliation":[{"name":"Department of Surgery, Queen Elizabeth Hospital , Birmingham B15 2TH,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S P","family":"Grobler","sequence":"additional","affiliation":[{"name":"Department of Surgery, Queen Elizabeth Hospital , Birmingham B15 2TH,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1993,8,1]]},"reference":[{"key":"2024092812390909700_bib1","first-page":"234","article-title":"Modified quadruple loop (W) ileal reservoir for restorative proctocolectomy","volume":"101","author":"Harms","year":"1987","journal-title":"Surgery"},{"key":"2024092812390909700_bib2","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1007\/BF02554497","article-title":"Ileal pouch\u2013vaginal fistulas: incidence, aetiology and management","volume":"32","author":"Wexner","year":"1989","journal-title":"Dis Colon Rectum"},{"key":"2024092812390909700_bib3","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1001\/archsurg.1986.01400040040005","article-title":"Ileoanal reservoir for ulcerative colitis and familial polyposis","volume":"121","author":"Schoetz","year":"1986","journal-title":"Arch Surg"},{"key":"2024092812390909700_bib4","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1007\/BF01648551","article-title":"The clinical and functional outcome after restorative proctocolectomy. A prospective study in 100 patients","volume":"4","author":"\u00d6resland","year":"1989","journal-title":"Int J Colorectal Dis"},{"key":"2024092812390909700_bib5","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1007\/BF02554114","article-title":"Temporary ileostomy for ileal pouch\u2013anal anastomosis \u2013 function and complications","volume":"29","author":"Metcalf","year":"1986","journal-title":"Dis Colon Rectum"},{"key":"2024092812390909700_bib6","article-title":"An audit of restorative proctocolectomy","volume-title":"Gut","author":"Keighley","year":"1993"},{"key":"2024092812390909700_bib7","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1002\/bjs.1800760931","article-title":"Totally stapled abdominal restorative proctocolectomy","volume":"76","author":"Kmiot","year":"1989","journal-title":"Br J Surg"},{"key":"2024092812390909700_bib8","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.1002\/bjs.1800761103","article-title":"Restorative proctocolectomy is the first choice elective surgical treatment for ulcerative colitis","volume":"76","author":"Williams","year":"1989","journal-title":"Br J Surg"},{"key":"2024092812390909700_bib9","doi-asserted-by":"crossref","first-page":"S76-9","DOI":"10.1002\/bjs.1800721341","article-title":"Restorative proctocolectomy with ileal reservoir","volume":"72","author":"Nicholls","year":"1985","journal-title":"Br J Surg"},{"key":"2024092812390909700_bib10","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1002\/bjs.1800790916","article-title":"Randomized trial of loop ileostomy in restorative proctocolectomy","volume":"79","author":"Grobler","year":"1992","journal-title":"Br J Surg"},{"key":"2024092812390909700_bib11","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1002\/bjs.1800780222","article-title":"Comparison of restorative proctocolectomy with and without covering ileostomy in ulcerative colitis","volume":"78","author":"J\u00e4rvinen","year":"1991","journal-title":"Br J Surg"},{"key":"2024092812390909700_bib12","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1097\/00000658-199106000-00011","article-title":"Stapled ileoanal anastomosis for ulcerative colitis and familial polyposis without a temporary diverting ileostomy","volume":"213","author":"Sugerman","year":"1991","journal-title":"Ann Surg"},{"key":"2024092812390909700_bib13","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1002\/bjs.1800781004","article-title":"Seton treatment of high anal fistulae","volume":"78","author":"Williams","year":"1991","journal-title":"Br J Surg"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800800849","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/80\/8\/1065\/59400387\/bjs1800800849.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/80\/8\/1065\/59400387\/bjs1800800849.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,14]],"date-time":"2025-01-14T15:22:04Z","timestamp":1736868124000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/80\/8\/1065\/6175932"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,8,1]]},"references-count":13,"journal-issue":{"issue":"8","published-online":{"date-parts":[[1993,8,1]]},"published-print":{"date-parts":[[1993,8,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800800849","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1993,8]]},"published":{"date-parts":[[1993,8,1]]}}}