Document Detail

Ulcerative colitis with severe backwash ileitis successfully treated by staged operation without sacrificing any involved ileum.
MedLine Citation:
PMID:  19159709     Owner:  NLM     Status:  MEDLINE    
Extension of the inflammatory process to the terminal portion of the ileum in patients with ulcerative colitis is commonly known as backwash ileitis (BWI). To the best of our knowledge, few studies of severe BWI have been reported in the English literature, and surgical strategies for this disease have not been discussed. We report 2 patients with ulcerative colitis and severe BWI, with concomitant ileal bleeding and perforation. In both cases, staged operation without sacrificing the involved area of the terminal ileum led to ileal pouch-anal anastomosis, with a favorable postoperative outcome. Our cases suggest that the underlying pathophysiologic conditions in BWI may be reversible, and the involved lesion can be salvaged in some cases.
Yoshiki Okita; Chikao Miki; Toshimitsu Araki; Mikihiro Inoue; Kohei Otake; Keiichi Uchida; Masato Kusunoki
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  44     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-01-22     Completed Date:  2009-05-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e37-9     Citation Subset:  IM    
Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, Tsu, Japan.
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MeSH Terms
Colitis, Ulcerative / complications,  diagnosis,  surgery*
Diagnosis, Differential
Ileitis / complications,  diagnosis,  surgery*
Proctocolectomy, Restorative

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