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Restorative proctocolectomy in UK servicemen
1Department of Colorectal Surgery, Peterborough District Hospital, Thorpe Road, Peterborough PE3 6DA. richguy60@hotmail.com
Objective:
To investigate the outcome of restorative proctocolectomy (RPC) in UK Servicemen and to determine the compatibility of this procedure with Service life.
Patients:
All Servicemen undergoing restorative proctocolectomy for ulcerative colitis (UC) or familial adenomatous polyposis (FAP) up to December 31st 2000 were identified from Service records. Patients were reviewed by direct or telephone interview. Pouch function, military duties, medical category or reasons for discharge from the Service were recorded.
Results:
Fifteen Servicemen (6 Royal Navy, 6 Army, 3 RAF), mean age 30 years, underwent RPC for UC (14) or FAP (1) with a median follow-up of 74 months. Eight remain in their Service, five of whom carry out full duties and three restricted duties. Of the seven who have left the Services only one was medically unfit to continue due to poor pouch function whilst six left voluntarily to pursue active civilian careers. Fourteen patients have acceptable pouch function; one pouch has been excised for intractable pouchitis.
Conclusions:
Restorative proctocolectomy is compatible with Service life and most individuals are capable of fulfilling active unrestricted military duties.
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