[Is subtotal resection of the colon actual for ulcerative colitis in the century of ileal reservoirs?].
The authors describe results of surgical treatment of 112 patients operated for a severe resistant form of ulcerative colitis (UC). In 26 (23.2%) of observations the operations were performed for complications, in 65 (58%)--for hormone-resistent, and in 21 (18.8%)--for hormone-dependent forms of UC. In 80 (71.4%) cases subtotal resection of the colon with ileo- and sigmostomies was fulfilled, in 26 (23.2%) a single stage ablation of all large intestine was fulfilled with the formation of permanent ileostomy and in 5 (5.4%) of observations the first step was finished with the formation of a reconstructive-plastic reservoir anastomosis. The number of complications in the nearest postoperative period was in 12.8% of patients, lethality was 2.3%. The development of a strict strategy of treatment for severe forms of the disease including the present-day using conservative and surgical methods of treatment depending on the individual character of each patient with UC made it possible to minimize the number of postoperative complications and decrease lethality and also to restore anal defecation with good functional results in 30.1% of operated patients.
Vorob'ev
G I
GI
Bolikhov
K V
KV
Mikhaĭlova
T L
TL
Kostenko
N V
NV
Veselov
V V
VV
Khachaturova
E A
EA
D000293:Adolescent; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D003082:Colectomy / Q000379:methods* / Q000706:statistics & numerical data*; D003093:Colitis, Ulcerative / Q000503:physiopathology / Q000601:surgery*; D012809:Colon, Sigmoid / Q000601:surgery*; D039021:Colonic Pouches / Q000706:statistics & numerical data*; D003657:Decision Making; D003672:Defecation; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000379:methods* / Q000706:statistics & numerical data; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D012426:Russia / Q000453:epidemiology; D015996:Survival Rate / Q000639:trends; D016896:Treatment Outcome; D055815:Young Adult