[Complications and risk factors of ileo-anal anastomosis with reservoir for ulcero-hemorrhagic rectocolitis associated with primary sclerosing cholangitis].
The study determined predictive factors for postoperative complications and outcome after ileal pouch-anal anastomosis in patients with ulcerative colitis and primary sclerosing cholangitis. Patients with ulcerative colitis and primary sclerosing cholangitis treated by colectomy and ileostomy are at high risk of troublesome bleeding from peristomal varices. Postoperative complications and outcome were assessed in 40 patients with ulcerative colitis and sclerosing cholangitis who received in ileal pouch-anal anastomosis between January 1981 and February 1990. Immediate postoperative and remote ileoanal anastomosis-related complications were high but related directly to the severity of liver disease. No patient had perianastomotic and bleeding. In patients with both ulcerative colitis and primary sclerosing cholangitis, ileal pouch-anal anastomosis is safe and is not associated with perianastomotic bleeding.
Kartheuser
A H
AH
Cliniques Saint-Luc, Université Catholique de Louvain, Bruxelles, Belgique.
Dozois
R R
RR
Wiesner
R H
RH
La Russo
N F
NF
Ilstrup
D M
DM
Schleck
C D
CD
D000293:Adolescent; D000328:Adult; D015209:Cholangitis, Sclerosing / Q000150:complications* / Q000401:mortality; D003093:Colitis, Ulcerative / Q000150:complications / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology*; D007081:Ileostomy; D007249:Inflammation / Q000209:etiology; D008107:Liver Diseases / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D016737:Proctocolectomy, Restorative / Q000379:methods*; D012307:Risk Factors
Complications et facteurs de risque de l'anastomose iléo-anale avec réservoir pour rectocolite ulcéro-hémorragique associée à une cholangite sclérosante primitive.