Open AccessTotal Colectomy and Mucosal Proctectomy with Preservation of Continence in Ulcerative Colitis
Author(s) -
Lester W. Martin,
Claude Lecoultre,
William K. Schubert
Publication year - 1977
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-197710000-00009
Subject(s) - medicine , ulcerative colitis , anus , rectum , colectomy , total colectomy , ileostomy , surgery , colitis , gastroenterology , general surgery , disease
Since ulcerative colitis is a mucosal disease, it would appear possible to remove the diseased rectal mucosa and preserve all anorectal musculature. When performed in conjunction with total colectomy, the terminal ileum could then be placed inside the retained muscular wall of the rectum and anastomosed to the anus. This would remove all of the disease and yet preserve anorectal continence. Seventeen patients with chronic ulcerative colitis have undergone this operation with satisfactory results in 15 and no deaths. Many details of preoperative, operative and postoperative management are presented which are imperative for a successful result. Sufficient experience has been gained that the operation can now be recommended.