Evaluation of ileorectal anastomosis for the treatment of ulcerative proctocolitis.
Of 327 patients treated for ulcerative proctocolitis, 165 underwent surgery and an ileorectal anastomosis was performed in 59: 19 of these patients were operated upon in one stage and 40 in two stages. In 13 cases the anastomoses had to be converted, 5 during the initial hospitalization and 8 during a later admission. Three patients developed carcinoma of the rectal stump. The median follow-up period was 15 years. It is concluded that ileorectal anastomosis has a place in the treatment of inflammatory bowel disease, but requires careful follow up of the patients.
Backer
O
O
Department of Surgical Gastroenterology F, Bispebjerg Hospital, Copenhagen, Denmark.
Hjortrup
A
A
Kjaergaard
J
J
D000714:Anastomosis, Surgical; D003093:Colitis, Ulcerative / Q000601:surgery*; D005069:Evaluation Studies as Topic; D006801:Humans; D007082:Ileum / Q000601:surgery*; D012007:Rectum / Q000601:surgery*