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.
Service de Chirurgie Digestive, Hôpital St Antoine, Paris, France.
J M
JM
Chevalier
D J
DJ
Jones
R
R
Ratelle
P
P
Frileux
E
E
Tiret
R
R
Parc
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