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Ileorectal anastomosis in ulcerative colitis. Results in 57 patients.
Scand J Gastroenterol. 1975; 10(6):641-6.SJ

Abstract

The early results of colectomy and ileorectal anastomosis (IRA) in 57 patients with ulcerative colitis seemed fair. The operative mortality was relatively low (7%) also in fulminating cases (10.5%), which constituted one-third of the material. The late results were less satisfactory. Half the survivors were in need of rectal extirpation and ileostomy because of rectal dysfunction. Until now 6% have developed cancer of the rectal stump. The early diagnosis of this condition was difficult. The results regarding rectal function, stenosis, and inflammation were significantly worse in women than in men. Moreover, dyspareunia was a severe problem in more than half the women. We have abandoned IRA in the treatment of ulcerative colitis.

Authors

Grüner OP
No affiliation info available
Flatmark A
No affiliation info available
Naas R
No affiliation info available
Fretheim B
No affiliation info available
Gjone E
No affiliation info available

MeSH

AdolescentAdultAgedChildColectomyColitis, UlcerativeFemaleFollow-Up StudiesHumansIleostomyIleumMaleMiddle AgedPostoperative ComplicationsRectal NeoplasmsRectum

Pub Type(s)

Journal Article

Language

eng

PubMed ID

1179158

Citation

Grüner, O P., et al. "Ileorectal Anastomosis in Ulcerative Colitis. Results in 57 Patients." Scandinavian Journal of Gastroenterology, vol. 10, no. 6, 1975, pp. 641-6.
Grüner OP, Flatmark A, Naas R, et al. Ileorectal anastomosis in ulcerative colitis. Results in 57 patients. Scand J Gastroenterol. 1975;10(6):641-6.
Grüner, O. P., Flatmark, A., Naas, R., Fretheim, B., & Gjone, E. (1975). Ileorectal anastomosis in ulcerative colitis. Results in 57 patients. Scandinavian Journal of Gastroenterology, 10(6), 641-6.
Grüner OP, et al. Ileorectal Anastomosis in Ulcerative Colitis. Results in 57 Patients. Scand J Gastroenterol. 1975;10(6):641-6. PubMed PMID: 1179158.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ileorectal anastomosis in ulcerative colitis. Results in 57 patients. AU - Grüner,O P, AU - Flatmark,A, AU - Naas,R, AU - Fretheim,B, AU - Gjone,E, PY - 1975/1/1/pubmed PY - 1975/1/1/medline PY - 1975/1/1/entrez SP - 641 EP - 6 JF - Scandinavian journal of gastroenterology JO - Scand J Gastroenterol VL - 10 IS - 6 N2 - The early results of colectomy and ileorectal anastomosis (IRA) in 57 patients with ulcerative colitis seemed fair. The operative mortality was relatively low (7%) also in fulminating cases (10.5%), which constituted one-third of the material. The late results were less satisfactory. Half the survivors were in need of rectal extirpation and ileostomy because of rectal dysfunction. Until now 6% have developed cancer of the rectal stump. The early diagnosis of this condition was difficult. The results regarding rectal function, stenosis, and inflammation were significantly worse in women than in men. Moreover, dyspareunia was a severe problem in more than half the women. We have abandoned IRA in the treatment of ulcerative colitis. SN - 0036-5521 UR - https://www.unboundmedicine.com/medline/citation/1179158/Ileorectal_anastomosis_in_ulcerative_colitis__Results_in_57_patients_ DB - PRIME DP - Unbound Medicine ER -