{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:40:04Z","timestamp":1751485204698,"version":"3.41.0"},"reference-count":26,"publisher":"International College of Surgeons","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>To clarify the neurological function of the puborectalis muscle (PM) in child patients with soiling after ileal J-pouch-anal anastomosis (IPAA) for ulcerative colitis (UC), we examined the terminal motor latency in the sacral nerves that regulate the PM. Eight patients after IPAA for UC were studied (6 males and 2 females aged 11 to 13 years with a mean age of 12.8 years). All patients 6 months after IPAA showed soiling (group A) and these patients showed continence at 2 years after IPAA (group B). Group C serving as controls consisted of 16 subjects (10 males and 6 females aged 12 to 17 years with a mean age of 14.4 years). Left- and right-sided sacral nerve terminal motor latency (SNTML) tests were performed at 6 months and 2 years after IPAA in order to measure the latency of the response in the bilateral PM following magnetic stimulation of sacral nerve root segments 2 to 4 (S2\u2013S4) of the spinal column overlying the cauda equina. The following results were obtained. (1) Right-sided SNTML: group A exhibited significant prolongation compared with groups B and C (<jats:italic>P<\/jats:italic> &lt; 0.0001 and <jats:italic>P<\/jats:italic> &lt; 0.0001, respectively). There was no significant difference between groups B and C (<jats:italic>P<\/jats:italic> = 0.2329). (2) Left-sided SNTML: group A exhibited significant prolongation compared with groups B and C (<jats:italic>P<\/jats:italic> = 0.0002 and <jats:italic>P<\/jats:italic> &lt; 0.0001, respectively). There was no significant difference between groups B and C (<jats:italic>P<\/jats:italic> = 0.2315). Note that significant differences were not established between SNTML values measured on the right and left sides. Soiling in child patients 6 months after IPAA may be caused by damage to the bilateral sacral nerves during the operation. However, the damage to the sacral motor nerve improves within 2 years after IPAA.<\/jats:p>","DOI":"10.9738\/intsurg-d-13-00043.1","type":"journal-article","created":{"date-parts":[[2014,12,8]],"date-time":"2014-12-08T16:00:08Z","timestamp":1418054408000},"page":"506-511","source":"Crossref","is-referenced-by-count":1,"title":["Sacral Nerve Function in Child Patients After Ileal J-Pouch-Anal Anastomosis for Ulcerative Colitis"],"prefix":"10.9738","volume":"99","author":[{"given":"Ryouichi","family":"Tomita","sequence":"first","affiliation":[{"name":"Department of Surgery, Nippon Dental University School of Life Dentistry, Tokyo, Japan"},{"name":"First Department of Surgery, Nihon University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiminobu","family":"Sugito","sequence":"additional","affiliation":[{"name":"First Department of Surgery, Nihon University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenichi","family":"Sakurai","sequence":"additional","affiliation":[{"name":"First Department of Surgery, Nihon University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeru","family":"Fujisaki","sequence":"additional","affiliation":[{"name":"First Department of Surgery, Nihon University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsugumichi","family":"Koshinaga","sequence":"additional","affiliation":[{"name":"First Department of Surgery, Nihon University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4721","reference":[{"issue":"2","key":"i0020-8868-99-5-506-b01","series-title":"J Pediatr Surg","first-page":"305","article-title":"Results of mucosal proctectomy versus extrarectal dissection for ulcerative colitis and familial polyposis in children and young adults","volume":"29","author":"Davis\n              C,","year":"1994","unstructured":"Davis\n              C, \n            \n              Alexander\n              F, \n            \n              Lavery\n              I. \n          \n          Results of mucosal proctectomy versus extrarectal dissection for ulcerative colitis and familial polyposis in children and young adults. 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J Pediatr Surg2007;42(1):31\u201335"},{"issue":"3","key":"i0020-8868-99-5-506-b09","series-title":"Br J Surg","first-page":"333","article-title":"Results at up to 20 years after ileal pouch-anal anastomosis for chronic ulcerative colitis","volume":"94","author":"Hahnloser\n              D,","year":"2007","unstructured":"Hahnloser\n              D, \n            \n              Pemberton\n              JH, \n            \n              Wolf\n              BG, \n            \n              Larson\n              DR, \n            \n              Crownhart\n              BS, \n            \n              Dozois\n              RR. \n          \n          Results at up to 20 years after ileal pouch-anal anastomosis for chronic ulcerative colitis. Br J Surg2007;94(3):333\u2013340"},{"issue":"2","key":"i0020-8868-99-5-506-b10","series-title":"J Paediatr Gastroenterol Nutr","first-page":"151","article-title":"Postoperative outcome of colectomy for pediatric patients with ulcerative colitis","volume":"51","author":"Patton\n              D,","year":"2010","unstructured":"Patton\n              D, \n            \n              Gupta\n              N, \n            \n              Wojcicki\n              JM, \n            \n              Garnett\n              EA, \n            \n              Nobuhara\n              K, \n            \n              Heyman\n              MB. \n          \n          Postoperative outcome of colectomy for pediatric patients with ulcerative colitis. J Paediatr Gastroenterol Nutr2010;51(2):151\u2013154"},{"issue":"8","key":"i0020-8868-99-5-506-b11","series-title":"Int J Colorectal Dis","first-page":"959","article-title":"Surgery for ulcerative colitis in 1000 patients","volume":"25","author":"Ikeuchi\n              H,","year":"2010","unstructured":"Ikeuchi\n              H, \n            \n              Uchino\n              M, \n            \n              Matsuoka\n              H, \n            \n              Bando\n              T, \n            \n              Matsumoto\n              T, \n            \n              Tomita\n              N\n            \n            et al\n          . Surgery for ulcerative colitis in 1000 patients. 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Hepatogastroenterology2007;54(77):1477\u20131482"},{"issue":"3","key":"i0020-8868-99-5-506-b15","series-title":"Int J Colorectal","first-page":"156","article-title":"Manovolumetric characteristics and functional results in three different pelvic pouch designs","volume":"4","author":"Hallgren\n              T,","year":"1989","unstructured":"Hallgren\n              T, \n            \n              Fasth\n              S, \n            \n              Nordgren\n              S, \n            \n              Oresland\n              T, \n            \n              Hallsberg\n              L, \n            \n              Hulten\n              L. \n          \n          Manovolumetric characteristics and functional results in three different pelvic pouch designs. 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Dis Colon Rectum1999;42(3):374\u2013379"},{"issue":"1","key":"i0020-8868-99-5-506-b19","series-title":"Neurogastroenterol Motil","first-page":"68","article-title":"The puborectalis muscle","volume":"17","author":"Azpiroz\n              F,","year":"2005","unstructured":"Azpiroz\n              F, \n            \n              Fernandez-Fraga\n              X, \n            \n              Merletti\n              R, \n            \n              Neck\n              P. \n          \n          The puborectalis muscle. Neurogastroenterol Motil2005;17(1):68\u201372"},{"issue":"5","key":"i0020-8868-99-5-506-b20","series-title":"Am J Gastroenterol","first-page":"1092","article-title":"Functional correlates of anal canal anatomy: puborectalis muscle and anal canal pressure","volume":"101","author":"Liu\n              J,","year":"2006","unstructured":"Liu\n              J, \n            \n              Guaderrama\n              N, \n            \n              Nager\n              CW, \n            \n              Pretorius\n              DH, \n            \n              Master\n              S, \n            \n              Mittal\n              RK. \n          \n          Functional correlates of anal canal anatomy: puborectalis muscle and anal canal pressure. Am J Gastroenterol2006;101(5):1092\u20131097"},{"issue":"7","key":"i0020-8868-99-5-506-b21","series-title":"J Neurol Neurosurg Psychiatry","first-page":"808","article-title":"Slowed motor conduction in lumbosacral nerve roots in cauda equina lesion: a new diagnostic technique","volume":"49","author":"Swash\n              M,","year":"1986","unstructured":"Swash\n              M, \n            \n              Snooks\n              SJ. \n          \n          Slowed motor conduction in lumbosacral nerve roots in cauda equina lesion: a new diagnostic technique. 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Int J Colorectal Dis1999;14(2):114\u2013118"},{"issue":"1","key":"i0020-8868-99-5-506-b25","series-title":"Acta Medica et Biologica","first-page":"43","article-title":"Sacral neuromodulation and repetitive magnetic stimulation: application in pediatric surgery","volume":"52","author":"Kubota\n              M.","year":"2004","unstructured":"Kubota\n              M. \n          \n          Sacral neuromodulation and repetitive magnetic stimulation: application in pediatric surgery. Acta Medica et Biologica2004;52(1):43\u201350"},{"issue":"1","key":"i0020-8868-99-5-506-b26","series-title":"Surgery","first-page":"81","article-title":"Gastric emptying function after ileal J pouch-anal anastomosis for ulcerative colitis","volume":"135","author":"Tomita\n              R,","year":"2004","unstructured":"Tomita\n              R, \n            \n              Fujisaki\n              S, \n            \n              Tanjoh\n              K. \n          \n          Gastric emptying function after ileal J pouch-anal anastomosis for ulcerative colitis. 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