Previous subtotal colectomy with ileostomy and sigmoidostomy improves the morbidity and early functional results after ileal pouch-anal anastomosis in ulcerative colitis

1993 ◽  
Vol 36 (4) ◽  
pp. 343-348 ◽  
Author(s):  
Christophe Penna ◽  
Frederic Daude ◽  
Rolland Parc ◽  
Emmanuel Tiret ◽  
Pascal Frileux ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Subtotal Colectomy ◽  
Ileal Pouch ◽  
Functional Results ◽  
Ileal Pouch Anal Anastomosis ◽  
Anal Anastomosis

Minimally Invasive Subtotal Colectomy and Ileal Pouch-Anal Anastomosis for Fulminant Ulcerative Colitis

2009 ◽  
Vol 52 (2) ◽  
pp. 187-192 ◽  
Author(s):  
Stefan D. Holubar ◽  
David W. Larson ◽  
Eric J. Dozois ◽  
Jirawat Pattana-arun ◽  
John H. Pemberton ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Minimally Invasive ◽  
Subtotal Colectomy ◽  
Ileal Pouch ◽  
Ileal Pouch Anal Anastomosis ◽  
Anal Anastomosis ◽  
Fulminant Ulcerative Colitis

scholarly journals Short- and long-term outcomes of ileal pouch-anal anastomosis for ulcerative colitis

2003 ◽  
Vol 58 (4) ◽  
pp. 193-198 ◽  
Author(s):  
Magaly Gemio Teixeira ◽  
Adauto C. Abreu da Ponte ◽  
Manuela Sousa ◽  
Maristela G. de Almeida ◽  
Edésio Silva Filho ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Ileal Pouch ◽  
Severe Disease ◽  
Functional Results ◽  
Late Complications ◽  
Ileal Pouch Anal Anastomosis ◽  
Early Complications ◽  
Anal Anastomosis

Ileal pouch-anal anastomosis was an important advancement in the treatment of ulcerative colitis. The aim of this study was to determine whether early complications of ileal pouch-anal anastomosis in patients with ulcerative colitis are associated with poor late functional results. PATIENTS AND METHODS: Eighty patients were operated on from 1986 to 2000, 62 patients with ileostomy and 18 without. The early and late complications were recorded. Specific emphasis has been placed on the incidence of pouchitis with prolonged follow-up. RESULTS: The ileostomy was closed an average of 9.2 months after the first operation. Fourteen patients were excluded from the long-term evaluation; 6 patients were lost to regular follow-up, 4 died, and 4 patients still have the ileostomy. Of the 4 patients that died, 1 died from surgical complications. Early complications after operation (41) occurred in 34 patients (42.5%). Late complications (29) occurred in 25 patients as follows: 16 had pouchitis, 3 associated with stenosis and 1 with sexual dysfunction; 5 had stenosis; and there was 1 case each of incisional hernia, ileoanal fistula, hepatic cancer, and endometriosis. Pouchitis occurred in 6 patients (9.8%) 1 year after ileal pouch-anal anastomosis, 9 (14.8%) after 3 years, 13 (21.3%) after 5 years, and 16 (26.2%) after more than 6 years. The mean daily stool frequency was 12 before and 5.8 after operation. One pouch was removed because of fistulas that appeared 2 years later. CONCLUSIONS: Ileal pouch-anal anastomosis is associated with a considerable number of early complications. There was no correlation between pouchitis and severe disease, operation with or without ileostomy, or early postoperative complications. The incidence of pouchitis was directly proportional to duration of time of follow-up.

Comparing functional results one year and ten years after ileal pouch-anal anastomosis for chronic ulcerative colitis

1994 ◽  
Vol 37 (4) ◽  
pp. 303-307 ◽  
Author(s):  
Bernard P. McIntyre ◽  
John H. Pemberton ◽  
Bruce G. Wolff ◽  
Robert W. Beart ◽  
Roger R. Dozois
Keyword(s):  
Ulcerative Colitis ◽  
Chronic Ulcerative Colitis ◽  
Ileal Pouch ◽  
Functional Results ◽  
Ileal Pouch Anal Anastomosis ◽  
Anal Anastomosis ◽  
One Year

scholarly journals Outcome of Toxic Megacolon during Pregnancy

1990 ◽  
Vol 4 (6) ◽  
pp. 230-234 ◽  
Author(s):  
Carl Chartrand-Lefebvre ◽  
Jacques Heppell ◽  
Claude Potvin ◽  
Richard Clermont ◽  
Alfons Pomp
Keyword(s):  
Ulcerative Colitis ◽  
Surgical Treatment ◽  
Clinical Features ◽  
Subtotal Colectomy ◽  
Ileal Pouch ◽  
Toxic Megacolon ◽  
Ileal Pouch Anal Anastomosis ◽  
Favorable Outcome ◽  
Mucosal Proctectomy ◽  
Anal Anastomosis

Two patients with ulcerative colitis required subtotal colectomy and ileostomy for toxic megacolon during pregnancy. Subsequently, a mucosal proctectomy with ileal pouch-anal anastomosis was performed. These two patients who avoided permanent ileostomies were able to carry normal pregnancies and deliver normal infants. These two cases illustrate the clinical features and the favorable outcome of surgical treatment.

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