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[Surgical treatment of ulcerative proctocolitis with total colectomy, resection of rectal mucosa and continent reconstruction with a ileoanal pouch anastomosis].
Schweiz Med Wochenschr. 1989 May 27; 119(21):744-6.SM

Abstract

Between 1984 and 1988, 10 patients with ulcerative colitis underwent surgery involving total colectomy and ileoanal reconstruction with a J-pouch. In 8 of the 10 we selected the three-stage surgical procedure: 1. total colectomy, 2. proctomucosectomy, ileoanal pouch anastomosis and double path protective ileostomy, 3. ileostomy closure. In 2 patients colectomy and pouch-anal anastomosis were performed at the same time. In 3 of 10 patients postoperative complications occurred (1 pelvic abscess, 1 abdominal abscess, 1 ileus) after total colectomy. Complications after pouch-anal anastomosis occurred in 2 of 10 patients (1 abscess formation lateral to pouch, 1 entero-vaginal fistula). Follow-up in all 6 patients in whom ileostomy closure had already been possible showed that an average of 16 months (2-44 months) after restoration of continuity 5 (of 6) patients were fully continent for stool and 1 woman patient was slightly incontinent for thin stool. With an average of 4.2 stool evacuations during the day and 1 defecation at night, all 6 patients expressed a high degree of satisfaction with the operative result.

Authors+Show Affiliations

Chirurgische Abteilung, St. Claraspital Basel.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

2756402

Citation

Oertli, D, et al. "[Surgical Treatment of Ulcerative Proctocolitis With Total Colectomy, Resection of Rectal Mucosa and Continent Reconstruction With a Ileoanal Pouch Anastomosis]." Schweizerische Medizinische Wochenschrift, vol. 119, no. 21, 1989, pp. 744-6.
Oertli D, Schuppisser JP, Gemsenjäger E, et al. [Surgical treatment of ulcerative proctocolitis with total colectomy, resection of rectal mucosa and continent reconstruction with a ileoanal pouch anastomosis]. Schweiz Med Wochenschr. 1989;119(21):744-6.
Oertli, D., Schuppisser, J. P., Gemsenjäger, E., & Tondelli, P. (1989). [Surgical treatment of ulcerative proctocolitis with total colectomy, resection of rectal mucosa and continent reconstruction with a ileoanal pouch anastomosis]. Schweizerische Medizinische Wochenschrift, 119(21), 744-6.
Oertli D, et al. [Surgical Treatment of Ulcerative Proctocolitis With Total Colectomy, Resection of Rectal Mucosa and Continent Reconstruction With a Ileoanal Pouch Anastomosis]. Schweiz Med Wochenschr. 1989 May 27;119(21):744-6. PubMed PMID: 2756402.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Surgical treatment of ulcerative proctocolitis with total colectomy, resection of rectal mucosa and continent reconstruction with a ileoanal pouch anastomosis]. AU - Oertli,D, AU - Schuppisser,J P, AU - Gemsenjäger,E, AU - Tondelli,P, PY - 1989/5/27/pubmed PY - 1989/5/27/medline PY - 1989/5/27/entrez SP - 744 EP - 6 JF - Schweizerische medizinische Wochenschrift JO - Schweiz Med Wochenschr VL - 119 IS - 21 N2 - Between 1984 and 1988, 10 patients with ulcerative colitis underwent surgery involving total colectomy and ileoanal reconstruction with a J-pouch. In 8 of the 10 we selected the three-stage surgical procedure: 1. total colectomy, 2. proctomucosectomy, ileoanal pouch anastomosis and double path protective ileostomy, 3. ileostomy closure. In 2 patients colectomy and pouch-anal anastomosis were performed at the same time. In 3 of 10 patients postoperative complications occurred (1 pelvic abscess, 1 abdominal abscess, 1 ileus) after total colectomy. Complications after pouch-anal anastomosis occurred in 2 of 10 patients (1 abscess formation lateral to pouch, 1 entero-vaginal fistula). Follow-up in all 6 patients in whom ileostomy closure had already been possible showed that an average of 16 months (2-44 months) after restoration of continuity 5 (of 6) patients were fully continent for stool and 1 woman patient was slightly incontinent for thin stool. With an average of 4.2 stool evacuations during the day and 1 defecation at night, all 6 patients expressed a high degree of satisfaction with the operative result. SN - 0036-7672 UR - https://www.unboundmedicine.com/medline/citation/2756402/[Surgical_treatment_of_ulcerative_proctocolitis_with_total_colectomy_resection_of_rectal_mucosa_and_continent_reconstruction_with_a_ileoanal_pouch_anastomosis]_ DB - PRIME DP - Unbound Medicine ER -