부산대학교 도서관

Diseases of the rectum necessitating rectal amputation with permanent colostomy have been increasing in Japan. In fact, this tendency is also remarkable in the authors' depart-ment of surgery.From 1964 to 1976, among 170 cases of rectal cancer, 80 underwent the Miles opera-tion, whih accompanied many disadvantages of colostomy. In the authors' department, most of the patients with colostomy have been trained to control fecal evacuation by colostomy irrigation.In this study, 21 males and 13 males managing their colostomics by irrigation were examined by interview and questionaire.As for the frequency of irrigation, 19 patients do it every day, 10 on alternative day and 5 on every third day. Most irrigators take an hour or less to irrigate. No severe com-plications such as perforation has occured.Colonofiberscopic and histrogical findings revealed no romarkable differences in the mucosa of the remaning colon between 17 irrigators and 5 non-irrigators.