[Proctocolectomy with ileo-anal anastomosis performed with mechanical suture without mucosectomy and without protective ileostomy].
Abdominal proctocolectomy with formation of an ileal reservoir anastomosed onto the anal canal using a stapler device is described. This technique avoids also stripping the mucosa from the anal canal which is time consuming and often difficult and incomplete. The avoidance of a temporary ileostomy did not lead to an increase in post operative complications. Seventeen patients have undergone this procedure for ulcerative colitis and the advantages and disadvantages of it are discussed.
Adloff
M
M
Centre Médico-Chirurgical et Obstétrical de la Sécurité Sociale, Schiltigheim.
Ollier
J C
JC
Schloegel
M
M
Fernoux
P
P
D003093:Colitis, Ulcerative / Q000601:surgery*; D006801:Humans; D007081:Ileostomy; D016737:Proctocolectomy, Restorative / Q000295:instrumentation / Q000379:methods*; D013528:Surgical Staplers
Coloproctectomie avec anastomose iléo-anale effectuée par suture mécanique sans mucosectomie et sans iléostomie de protection.