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COLECTOMY AND ILEORECTAL ANASTOMOSIS IN THE SURGICAL TREATMENT OF ULCERATIVE COLITIS
Author(s) -
Anderson A. F. G.
Publication year - 1960
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1960.tb03094.x
Subject(s) - medicine , rectum , ulcerative colitis , ileostomy , colectomy , surgery , proctitis , anastomosis , colorectal surgery , general surgery , disease , abdominal surgery
Summary A series of 34 cases of ulcerative colitis subjected to colectomy and ileorectal anastomosis has been reviewed. A good or satisfactory result was obtained in 18. In 8 cases there was a late severe recurrence of disease in the rectal stump. following an interval (on an average three years)in which in 6 the result had been good or satisfactory. In 5 of these latter it was necessary, because of the severity of the proctitis, to excise the rectum. It is concluded that those most likely to have the benefit of a good result following colectomy and ileorectal anastomosis are the young patients with short histories, in whom the rectum is only mildly affected, and where at least 15 crns of rectal stump is left. A very satisfactory scheme is a two stage procedure with colectomy and ileostomy as the first stage.