[Surgical policy in nonspecific ulcerative colitis].
Results of surgical treatment of 101 patients with nonspecific ulcerative colitis are analyzed. In 73 (72.3%) patients variants of abdomino-anal coloproctectomy were performed, 22 of them underwent total coloproctectomy with terminal ileo- or colostoma creation. In 21 (20.8%) patients who had no inflammatory-ulcerative process in the rectum resection of the affected part of the colon with ileo--or colorectal anastomosis was performed, in 8 cases suturing device AKA-2 was used. In 7 (6.9%) patients who had undergone total coloproctectomy S-type intestinal reservoir and reservoir-anal anastomosis were created. Rate of postoperative complications was 16.8%, lethality--3.0%. 6 months after creation of reservoir-anal anastomosis nearly complete recovery of anal sphincter function was seen that permits to regard this surgery as a method of choice in the treatment of patients with total ulcerative colitis.
Navruzov
S N
SN
Iusupbekov
A A
AA
Khudaiarov
A A
AA
Rustamov
A E
AE
Sapaev
D A
DA
Turaev
G Kh
GKh
Rakfmonov
S T
ST
D000328:Adult; D000368:Aged; D003093:Colitis, Ulcerative / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D016737:Proctocolectomy, Restorative / Q000009:adverse effects* / Q000379:methods