Document Detail

Mucosal proctectomy and colo-anal anastomosis for distal ulcerative proctocolitis.
MedLine Citation:
PMID:  3594128     Owner:  NLM     Status:  MEDLINE    
Four patients with long-standing symptomatic ulcerative colitis confined to the left colon and rectum were treated by resection, mucosal proctectomy and colo-anal sleeve anastomosis. There was no operative mortality or anastomotic leakage. Follow-up has ranged from 12 to 66 months (mean 52 months). Loose bowel motions with urgency and frequency of defaecation were troublesome postoperative symptoms. Recurrence of the colitis in the neorectum with extension into the proximal colon occurred in all patients within 3 to 11 months (mean 6 months) of operation. This necessitated total proctocolectomy with ileostomy in three patients (mean 18 months postoperatively). In the fourth patient the recurrence is medically controlled without a stoma more than 5 years after operation. This operation is unsuitable for the treatment of segmental ulcerative proctocolitis.
J S Varma; G G Browning; A N Smith; W P Small; W Sircus
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The British journal of surgery     Volume:  74     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1987 May 
Date Detail:
Created Date:  1987-07-30     Completed Date:  1987-07-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  381-3     Citation Subset:  AIM; IM    
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MeSH Terms
Anal Canal / surgery*
Colitis, Ulcerative / surgery*
Colon / surgery*
Intestinal Mucosa / surgery
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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