{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T19:30:48Z","timestamp":1648582248896},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Gastroenterol."],"published-print":{"date-parts":[[2006,6]]},"abstract":"<jats:p>RACIONAL: Ao longo do tempo, estudou-se a escolha da colostomia perineal como a forma de se evitar a colostomia abdominal ap\u00f3s cirurgia de amputa\u00e7\u00e3o abdominoperineal. A colostomia perineal associada a um mecanismo frenador das fezes vem sendo estudada h\u00e1 v\u00e1rios anos com resultados satisfat\u00f3rios. OBJETIVO: Investiga\u00e7\u00e3o, em c\u00e3es, da valvuloplastia c\u00f3lica aplicada \u00e0 amputa\u00e7\u00e3o abdominoperineal do reto mais colostomia perineal e a discuss\u00e3o dos resultados obtidos na avalia\u00e7\u00e3o cl\u00ednica e histopatol\u00f3gica. MATERIAL E M\u00c9TODOS: O modelo experimental desta pesquisa foi desenvolvido no c\u00f3lon de c\u00e3es. Foram operados 65 animais, dos quais 10 constitu\u00edram o grupo-piloto, 15 o grupo-controle e os 40 demais foram separados em tr\u00eas grupos. O grupo 1 para observa\u00e7\u00e3o de 10 dias; o grupo 2 em p\u00f3s-operat\u00f3rio de 20 dias; e o grupo 3 de 30 dias. Os c\u00e3es foram submetidos a amputa\u00e7\u00e3o abdominoperineal parcial do reto com colostomia perineal associada \u00e0 seromiotomia circunferencial, extramucosa em c\u00f3lon esquerdo (exceto nos dos grupos-controle). RESULTADOS: Atrav\u00e9s de acompanhamento e estudo post-mortem, foi poss\u00edvel verificar fezes s\u00f3lidas a montante das v\u00e1lvulas, evidenciando-se o eficiente mecanismo frenador das mesmas. A an\u00e1lise histol\u00f3gica das v\u00e1lvulas mostrou neoprolifera\u00e7\u00e3o conjuntiva com fibrose em toda a \u00e1rea seccionada da serosa e das camadas musculares, separando-as. Evidenciou-se um anel fibroso com diminui\u00e7\u00e3o do l\u00famen intestinal, em resposta \u00e0 cicatriza\u00e7\u00e3o da serosa e muscular invertidas pela sutura, levando \u00e0 forma\u00e7\u00e3o da \"v\u00e1lvula artificial\". O processo inflamat\u00f3rio fibrosante reparativo ocorreu em todas as v\u00e1lvulas, associado a rea\u00e7\u00f5es do tipo corpo estranho e \u00e0 estenose parcial do l\u00famen intestinal. CONCLUS\u00c3O: Conclui-se que a seromiotomia circunferencial produz um anel fibroso que facilita a estase fecal em colo esquerdo.<\/jats:p>","DOI":"10.1590\/s0004-28032006000200013","type":"journal-article","created":{"date-parts":[[2006,9,21]],"date-time":"2006-09-21T15:10:38Z","timestamp":1158851438000},"page":"125-131","source":"Crossref","is-referenced-by-count":2,"title":["Estudo de v\u00e1lvulas artificiais no c\u00f3lon esquerdo ap\u00f3s amputa\u00e7\u00e3o abdominoperineal parcial do reto mais colostomia perineal, em c\u00e3es"],"prefix":"10.1590","volume":"43","author":[{"given":"S\u00e1vio Lana","family":"Siqueira","sequence":"first","affiliation":[{"name":"Faculdade de Ci\u00eancia de Minas Gerais"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alcino","family":"L\u00e1zaro-da-Silva","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ot\u00e1vio Augusto Fonseca","family":"Reis","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancia de Minas Gerais"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo Santana","family":"Fantauzzi","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancia de Minas Gerais"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ot\u00e1vio de Melo","family":"Silva Jr.","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancia de Minas Gerais"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulo Guilherme de Oliveira","family":"Sales","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancia de Minas Gerais"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","first-page":"3","article-title":"Continenza di colostomia perineale dopo operazione di miles: neosfintere elettrostimolato","volume":"6","author":"Cavina E","year":"1985","journal-title":"Boll Soc It Chir."},{"key":"ref2","first-page":"305","article-title":"Construction of a continent perineal colostomy by using electrostimulated gracilis muscles after abdominoperineal resection: personal technique and experience with 32 cases","volume":"17","author":"Cavina E","year":"1987","journal-title":"Ital J Surg Sci."},{"key":"ref3","first-page":"200","article-title":"Acceptation des stomies p\u00e9rin\u00e9ales","volume":"16","author":"Chiotasso P","year":"1992","journal-title":"Gastroenterol Clin Biol."},{"key":"ref4","first-page":"152","article-title":"Reconstruction of anal sphincter by muscle slips from the glutei","volume":"92","author":"Chittenden AS","year":"1930","journal-title":"Ann Surg."},{"key":"ref5","first-page":"529","article-title":"Plastic operation for restoration of the sphincter ani, with report of a case","volume":"61","author":"Chetewood CH","year":"1902","journal-title":"Med Rec."},{"key":"ref6","series-title":"The sphincters of the digestive system 1968","first-page":"184","author":"Didio LJA","year":"1968"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1007\/BF02234140","article-title":"Continent perineal colostomy after abdominoperineal resection: outcome after 63 cases","volume":"42","author":"Gamagami RA","year":"1999","journal-title":"Dis Colon Rectum."},{"key":"ref8","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1053\/ejso.2000.1046","article-title":"Pseudocontinent perineal colostomy following abdominoperineal resection: technique and findings in 49 patients","volume":"27","author":"Lasser P","year":"2001","journal-title":"Eur J Surg Oncol."},{"key":"ref9","first-page":"32","article-title":"Tentativa de tratamento do ''dumping\" atrav\u00e9s de um \"esf\u00edncter\" ileal","volume":"1","author":"L\u00e1zaro-da-Silva A","year":"1974","journal-title":"Rev Assoc Med Minas Gerais."},{"key":"ref10","first-page":"105","article-title":"Amputa\u00e7\u00e3o abd\u00f4mino-perineal com colostomia perineal","volume":"11","author":"L\u00e1zaro-da-Silva A","year":"1991","journal-title":"Rev Bras Coloproctol."},{"key":"ref11","first-page":"800","article-title":"Amputa\u00e7\u00e3o abd\u00f4mino-perineal com colostomia perineal","volume":"82","author":"L\u00e1zaro-da-Silva A","year":"1995","journal-title":"Prensa Med Argent."},{"key":"ref12","first-page":"761","article-title":"Abdominoperineal excision of rectum and anal canal with perineal colostomy","volume":"161","author":"L\u00e1zaro-da-Silva A","year":"1995","journal-title":"Eur J Surg."},{"key":"ref13","first-page":"51","article-title":"Abdominoperineal excision of the rectum and anal canal with perineal colostomy","volume":"10","author":"L\u00e1zaro-da-Silva A","year":"1995","journal-title":"ABCD Arq Bras Cir Dig."},{"key":"ref14","series-title":"colostomia perineal","volume-title":"Tratamento do c\u00e2ncer reto-anal","author":"L\u00e1zaro-da-Silva A.","year":"1998"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1097\/00000637-198912000-00008","article-title":"Reconstruction of anorectal angle after abdominoperineal resection of rectum and anus - an animal model","volume":"23","author":"Ma S","year":"1989","journal-title":"Ann Plast Surg."},{"key":"ref16","doi-asserted-by":"crossref","first-page":"1812","DOI":"10.1016\/S0140-6736(00)99076-7","article-title":"A method of performing abdominoperineal excision for carcinoma of rectum and the terminal portion of the pelvic colon","volume":"2","author":"Miles WE","year":"1908","journal-title":"Lancet."},{"key":"ref17","first-page":"157","article-title":"Aspectos \u00e9ticos na pesquisa em animais","volume":"11","author":"Petroianu A","year":"1996","journal-title":"Acta Cir Bras."},{"key":"ref18","series-title":"\u00c9tica, moral e deontologia m\u00e9dicas","first-page":"185","volume-title":"Pesquisa experimental","author":"Petroianu A.","year":"2000"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1097\/00006534-195401000-00005","article-title":"Rectal sphincter reconstruction using gracilis muscle transplant","volume":"13","author":"Pickrell K","year":"1954","journal-title":"Plast Reconstr Surg."},{"key":"ref20","first-page":"721","article-title":"Transplantation of gracilis muscle to construct a rectal sphincter","volume":"90","author":"Pickrell K","year":"1955","journal-title":"Am J Surg."},{"key":"ref21","first-page":"187","article-title":"Dickdarmmuskelauto-transplantation zur Behandlung der incontinentia alvi","volume":"22","author":"Schmidt E","year":"1979","journal-title":"Z Kinderchir."},{"key":"ref22","first-page":"96","article-title":"Kontinent colostomie durch freie transplantation autologer dickdarmmuskulatur","volume":"50","author":"Schmidt E","year":"1979","journal-title":"Chirurg."},{"key":"ref23","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1007\/BF01292080","article-title":"Autologe darmmuskel-transplantation","volume":"352","author":"Schmidt E","year":"1980","journal-title":"Langenbecks Arch Chir."},{"key":"ref24","first-page":"160","article-title":"Un nouveau procede operatoire pour la reconstituion du sphincter anal","volume":"27","author":"Schoemarker J","year":"1909","journal-title":"Semaine Med."},{"key":"ref25","series-title":"Histopatologia da seromiotomia dupla e sutura seromuscular no c\u00f3lon descendente de ratos","first-page":"65","author":"Silva Jr AL","year":"2000"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1002\/bjs.1800630514","article-title":"Rectal sphincter reconstrution in perineal colostomies after abdominoperineal resection for cancer","volume":"63","author":"Simonsen SO","year":"1976","journal-title":"Br J Surg."},{"key":"ref27","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1001\/jama.1963.73700210006013","article-title":"Motility in the gastrointestinal tract","volume":"25","author":"Texter EC","year":"1963","journal-title":"JAMA."},{"key":"ref28","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1007\/BF02554894","article-title":"Report of a case","volume":"31","author":"Torres RA","year":"1988","journal-title":"Dis Colon Rectum."},{"key":"ref29","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1590\/S0100-69912001000500008","article-title":"Efic\u00e1cia da confec\u00e7\u00e3o de v\u00e1lvulas col\u00f4nicas ap\u00f3s ressec\u00e7\u00e3o retoanal em ratos","volume":"28","author":"Veloso SG","year":"2001","journal-title":"Rev Col Bras Cir."},{"key":"ref30","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1007\/BF02052207","article-title":"Restoration of gastrointestinal continuity and continence after abdominoperineal excision of the rectum using an electrically stimulated neoanal sphincter","volume":"33","author":"Williams NS","year":"1990","journal-title":"Dis Colon Rectum."}],"container-title":["Arquivos de 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