Failure of right-sided coloanal anastomosis for treatment of left-sided ulcerative colitis. Report of a case.
A patient with ulcerative colitis limited to the rectum and distal colon underwent a left hemicolectomy, a mucosal proctectomy, and a coloanal sleeve anastomosis using the normal proximal colon. She experienced macroscopic recurrence of her disease within 2 months of the operation and eventually required excision of the remaining colon and an end ileostomy. Our experience and that of others would indicate that a right-sided coloanal operation is unsuitable for the treatment of left-sided ulcerative colitis.
Schwarz
R J
RJ
Department of Surgery, University of British Columbia, Vancouver, Canada.
Pezim
M E
ME
D000328:Adult; D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical; D003093:Colitis, Ulcerative / Q000601:surgery*; D003106:Colon / Q000601:surgery*; D005260:Female; D006801:Humans; D007081:Ileostomy; D012008:Recurrence