{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T23:53:23Z","timestamp":1778630003251,"version":"3.51.4"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[1994,7,1]],"date-time":"1994-07-01T00:00:00Z","timestamp":773020800000},"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":[[1994,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Over a 16-year period 34 patients underwent surgery for idiopathic megarectum or megacolon; 18 had megarectum with or without megasigmoid, one megacolon only and 15 megarectum and total megacolon (nine with a previous colectomy). Ten patients underwent low rectal or anal anastomosis without pouch formation (colodistal proctostomy, eight; coloanal anastomosis, two), eight had colonic pouch-anal anastomosis (J pouch) and 14 had an ileal J pouch after restorative proctocolectomy; one underwent subtotal colectomy with ileorectal anastomosis and one loop ileostomy alone. There was one death, from intestinal obstruction 24 months after operation. Twenty-seven of 32 evaluable patients without a stoma became fully continent following resection and sphincter-saving procedures. Three of 18 had a poor result after resection for megarectum because of recurrent constipation. One of 14 patients became incontinent after restorative proctocolectomy for megacolon and megarectum and in a further four persistent abdominal distension and pain was treated by pouch excision.<\/jats:p>","DOI":"10.1002\/bjs.1800810742","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T20:26:35Z","timestamp":1172953595000},"page":"1051-1053","source":"Crossref","is-referenced-by-count":41,"title":["Results of anal or low rectal anastomosis and pouch construction for megarectum and megacolon"],"prefix":"10.1093","volume":"81","author":[{"given":"J","family":"Stewart","sequence":"first","affiliation":[{"name":"University Department of Surgery, Queen Elizabeth Hospital , Edgbaston, Birmingham B15 2TH,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Kumar","sequence":"additional","affiliation":[{"name":"University Department of Surgery, Queen Elizabeth Hospital , Edgbaston, Birmingham B15 2TH,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M R B","family":"Keighley","sequence":"additional","affiliation":[{"name":"University Department of Surgery, Queen Elizabeth Hospital , Edgbaston, Birmingham B15 2TH,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1994,7,1]]},"reference":[{"key":"2024092815370551700_bib1","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1007\/BF02553250","article-title":"Idiopathic acquired megacolon: the value of subtotal colectomy","volume":"25","author":"Belliveau","year":"1982","journal-title":"Dis Colon Rectum"},{"key":"2024092815370551700_bib2","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1136\/gut.27.1.41","article-title":"Severe chronic constipation of young women: \u2018idiopathic slow transit constipation\u2019","volume":"27","author":"Barnes","year":"1986","journal-title":"Gut"},{"key":"2024092815370551700_bib3","first-page":"1035","article-title":"Discussion on megacolon and megarectum with the emphasis on conditions other than Hirschsprung's disease","volume":"54","author":"Todd","year":"1961","journal-title":"Proc R Soc Med"},{"key":"2024092815370551700_bib4","first-page":"1047","article-title":"Megacolon and megarectum in Chagas' disease","volume":"54","author":"Ferreira-Santos","year":"1961","journal-title":"Proc R Soc Med"},{"key":"2024092815370551700_bib5","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/S0016-5085(82)80186-8","article-title":"Bowel patterns among subjects not seeking health care. Use of a questionnaire to identify a population with bowel dysfunction","volume":"83","author":"Drossman","year":"1982","journal-title":"Gastroenterology"},{"key":"2024092815370551700_bib6","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1007\/BF01893094","article-title":"Towards a radiologic definition of idiopathic megacolon","volume":"18","author":"Preston","year":"1985","journal-title":"Gastrointest Radiol"},{"key":"2024092815370551700_bib7","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1002\/bjs.1800780803","article-title":"Management of idiopathic megarectum and megacolon","volume":"78","author":"Kamm","year":"1991","journal-title":"Br J Surg"},{"key":"2024092815370551700_bib8","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1001\/archsurg.1966.01330040084015","article-title":"Operative treatment of acquired megacolon in adults","volume":"93","author":"Watkins","year":"1966","journal-title":"Arch Surg"},{"key":"2024092815370551700_bib9","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1007\/BF02554316","article-title":"Funnel anus and megacolon in an adult","volume":"28","author":"Jarvinen","year":"1985","journal-title":"Dis Colon Rectum"},{"key":"2024092815370551700_bib10","first-page":"81","volume-title":"Disorders of Gastrointestinal Motility in Childhood","author":"Lake","year":"1988"},{"key":"2024092815370551700_bib11","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/0022-3468(72)90394-6","article-title":"Acetylcholinesterase activity in suction biopsies of the rectum in the diagnosis of Hirschsprung's disease","volume":"7","author":"Meier-Ruge","year":"1972","journal-title":"J Pediatr Surg"},{"key":"2024092815370551700_bib12","first-page":"307","article-title":"Idiopathic megacolon: a review of 42 cases","volume":"64","author":"Lane","year":"1977","journal-title":"Br J Surg"},{"key":"2024092815370551700_bib13","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1002\/bjs.1800760735","article-title":"Idiopathic constipation associated with impaired urethrovesical and sacral reflex function","volume":"76","author":"Kerrigan","year":"1989","journal-title":"Br J Surg"},{"key":"2024092815370551700_bib14","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1002\/bjs.1800671020","article-title":"An assessment of anorectal motility in the management of adult megacolon","volume":"67","author":"Taylor","year":"1980","journal-title":"Br J Surg"},{"key":"2024092815370551700_bib15","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":"2024092815370551700_bib16","doi-asserted-by":"crossref","first-page":"A575","DOI":"10.1136\/gut.32.12.1538","article-title":"Alternative surgery for idiopathic megarectum and megacolon","volume":"32","author":"Stabile","year":"1991","journal-title":"Gut"},{"key":"2024092815370551700_bib17","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1007\/BF00341291","article-title":"Results of stoma formation for idiopathic megarectum and megacolon","volume":"7","author":"Stabile","year":"1992","journal-title":"Int J Colorectal Dis"},{"key":"2024092815370551700_bib18","first-page":"2249","article-title":"Une nouvelle op\u00e9ration pour le m\u00e9gac\u01d2lon cong\u00e9nital l'abaissement r\u00e9tro-rectal et trans anal du c\u01d2lon et son application possible au traitement de quelques autre malformations","volume":"64","author":"Duhamel","year":"1956","journal-title":"Presse Med"},{"key":"2024092815370551700_bib19","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1002\/bjs.1800780609","article-title":"Results of the Duhamel operation in the treatment of idiopathic megarectum and megacolon","volume":"78","author":"Stabile","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.1800810742","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/81\/7\/1051\/59413396\/bjs1800810742.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/81\/7\/1051\/59413396\/bjs1800810742.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T15:37:44Z","timestamp":1727537864000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/81\/7\/1051\/6165771"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,7,1]]},"references-count":19,"journal-issue":{"issue":"7","published-online":{"date-parts":[[1994,7,1]]},"published-print":{"date-parts":[[1994,7,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800810742","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1994,7]]},"published":{"date-parts":[[1994,7,1]]}}}