Total colectomy and mucosal proctectomy with preservation of continence in ulcerative colitis

Since ulcerative colitis is a mucosal disease, it would appear possible to remove the diseased rectal mucosa and preserve all anorectal musculature. When performed in conjunction with total colectomy, the terminal ileum could then be placed inside the retained muscular wall of the rectum and anastom...

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Bibliographic Details
Published inAnnals of surgery Vol. 186; no. 4; pp. 477 - 480
Main Authors Martin, L W, LeCoultre, C, Schubert, W K
Format Journal Article
LanguageEnglish
Published United States 01.10.1977
Subjects
Abscess - etiology
Adolescent
Adult
Child
Colectomy - methods
Colitis, Ulcerative - surgery
Diarrhea - etiology
Fecal Incontinence - prevention & control
Humans
Ileostomy
Intestinal Mucosa - surgery
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Rectum - surgery
Surgical Wound Infection - etiology
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Summary:Since ulcerative colitis is a mucosal disease, it would appear possible to remove the diseased rectal mucosa and preserve all anorectal musculature. When performed in conjunction with total colectomy, the terminal ileum could then be placed inside the retained muscular wall of the rectum and anastomosed to the anus. This would remove all of the disease and yet preserve anorectal continence. Seventeen patients with chronic ulcerative colitis have undergone this operation with satisfactory results in 15 and no deaths. Many details of preoperative, operative and postoperative management are presented which are imperative for a successful result. Sufficient experience has been gained that the operation can now be recommended.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0003-4932
1528-1140
DOI:10.1097/00000658-197710000-00009