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Proctocolectomy and ileostomy for ulcerative colitis: the longer term story
R K Phillips1, J K Ritchie, P R Hawley
1St Mark's Hospital, London.
Total proctocolectomy and ileostomy for ulcerative colitis is a complex procedure. This study found it is not as trouble-free as often presumed when compared to the ileoanal pouch alternative.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Colorectal Surgery
Background:
- Ulcerative colitis management often requires surgical intervention.
- Surgical options include total colectomy with conventional ileostomy or ileoanal pouch anastomosis.
Purpose of the Study:
- To evaluate the outcomes of one-stage elective total proctocolectomy and ileostomy.
- To compare the perceived ease of ileostomy versus ileoanal pouch procedures.
Main Methods:
- Retrospective study of 70 patients.
- Patients underwent one-stage elective total proctocolectomy and ileostomy between 1976 and 1986.
Main Results:
- Total proctocolectomy and ileostomy is a significant surgical undertaking.
- The procedure is not as straightforward as commonly assumed, especially when contrasted with the ileoanal pouch.
Conclusions:
- Elective total proctocolectomy and ileostomy for ulcerative colitis presents challenges.
- Patients and surgeons should carefully consider the complexities compared to ileoanal pouch formation.
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