Fate of the retained rectum after subtotal colectomy for inflammatory disease of the colon.
Of forty-nine consecutive patients who underwent subtotal colectomy for inflammatory disease of the colon, 73.5 per cent required subsequent combined abdominoperineal resection of the retained rectum and only two patients had successful ileoproctostomy. For the patient whose rectum is substantially diseased along with the rest of the colon, one-stage total proctocolectomy is the preferred operation.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000150:complications; D002648:Child; D002908:Chronic Disease; D003082:Colectomy; D003092:Colitis / Q000150:complications / Q000601:surgery*; D003093:Colitis, Ulcerative / Q000150:complications / Q000601:surgery*; D003110:Colonic Neoplasms / Q000150:complications; D005260:Female; D006105:Granulomatous Disease, Chronic / Q000150:complications / Q000601:surgery*; D006801:Humans; D007081:Ileostomy; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000601:surgery; D010585:Phagocyte Bactericidal Dysfunction / Q000601:surgery*; D011183:Postoperative Complications; D011350:Proctocolitis / Q000150:complications; D011379:Prognosis; D012007:Rectum / Q000601:surgery*; D012008:Recurrence; D013997:Time Factors