Colectomy with ileoproctostomy for ulcerative colitis: Report of five cases |
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Authors: | David L Smith MD Harris S Goldman MD Robert F Foote MD |
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Institution: | (1) Foote-Smith Proctologic Medical Group, Inc., 5400 Balboa Blvd., 91316 Encino, Cal |
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Abstract: | Summary and Conclusions Twenty-five patients with ulcerative colitis were treated by abdominal colectomy with ileorectal anastomosis. Five additional
case reports available since and initial publication in 1964 are presented. Proctocolectomy with permanent ileostomy remains
the operation of choice for most patients requiring resectional surgery for ulcerative colitis. For selected patients abdominal
colectomy with ileorectal anastomosis is a satisfactory alternative. Such patients should possess an otherwise healthy anorectum
with only mild to moderate proctitis. Anal ulcer (chronic fissure-in-ano), fistula-in-ano, and symptomatic hemorrhoidal disease
are considered contraindications to this operative procedure. |
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Keywords: | |
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