Colectomy and ileorectal anastomosis in patients with Crohn's disease.
Eighty-three patients underwent colectomy and ileorectal anastomosis for Crohn's disease of the large bowel. There were two postoperative deaths and seven anastomotic leaks. Fifty-two patients retained a functioning anastomosis with a mean follow-up of 8 years. Forty had an excellent or good functional result. The cumulative proportion of patients with a functioning ileorectal anastomosis was 77 and 63 per cent at 5 and 10 years respectively. Patients presenting with perforating Crohn's disease had a significantly increased risk of failure of the anastomosis. Perianal Crohn's disease following ileorectal anastomosis was significantly related to the need to defunction or excise the rectum.
Chevalier
J M
JM
Service de Chirurgie Digestive, Hôpital St Antoine, Paris, France.
Jones
D J
DJ
Ratelle
R
R
Frileux
P
P
Tiret
E
E
Parc
R
R
D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods / Q000401:mortality; D002648:Child; D003082:Colectomy / Q000379:methods* / Q000401:mortality; D003424:Crohn Disease / Q000150:complications / Q000401:mortality / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D012007:Rectum / Q000601:surgery*; D016896:Treatment Outcome