[Reconstructive surgery in patients with nonspecific ulcerative colitis and Crohn disease]

The article analyses experience in reconstructive operations on 89 patients with unspecific ulcerative colitis and Crohn's disease in the period from 1960 to 1987. Most frequently, surgical rehabilitation of these patients proved to be possible when the time between the onset of the disease and the primary operation was no more than 3 years. Special selection of patients for reconstructive operations does not exclude those with complications in the anorectal region, the manifestations of which should be, however, minimal. The inflammatory process in the rectum should not exceed the first degree of activity. The most favourable periods for reconstructive operations are 6 to 12 months after removal of the colon. The best results were achieved in patients with ileorectal and a low ileosigmoid anastomosis which were created in 90% of patients with unspecific ulcerative colitis and in 41% of those with Crohn's disease.