Morbidity of Loop Ileostomy Closure after Restorative Proctocolectomy for Ulcerative Colitis and Familial Adenomatous Polyposis: a Systematic Review

2014 ◽  
Vol 18 (12) ◽  
pp. 2192-2200 ◽  
Author(s):  
Rudolf Mennigen ◽  
Wiebke Sewald ◽  
Norbert Senninger ◽  
Emile Rijcken
Keyword(s):  
Systematic Review ◽  
Ulcerative Colitis ◽  
Familial Adenomatous Polyposis ◽  
Restorative Proctocolectomy ◽  
Loop Ileostomy ◽  
Ileostomy Closure ◽  
Adenomatous Polyposis

scholarly journals Restorative Proctocolectomy: When to Propose and When to Avoid

2021 ◽  
Author(s):  
Marisa D. Santos
Keyword(s):  
Ulcerative Colitis ◽  
Familial Adenomatous Polyposis ◽  
Restorative Proctocolectomy ◽  
Ileal Pouch ◽  
Adenomatous Polyposis ◽  
Entire Colon ◽  
Anal Anastomosis ◽  
Colon And Rectum ◽  
Complex Surgery ◽  
Over Time

Restorative proctocolectomy with ileal pouch-anal anastomosis (RPC-IPAA) is a surgical procedure performed when excising the entire colon and rectum is need and reconstitution of the intestinal transit through an ileal pouch is made with anastomosis to the anus. It is mainly used to treat patients with familial adenomatous polyposis (FAP) and ulcerative colitis (UC). It is a complex surgery with potential complications, and the functional outcomes can be worse over time. So, it is essential to select the appropriate patient, proceed to a correct surgical technique, and know-how to deal with and solve the main ileal pouch complications. This chapter intends to be a reflection on this subject.

scholarly journals Salvage surgery after restorative proctocolectomy

2004 ◽  
Vol 51 (2) ◽  
pp. 23-26
Author(s):  
R.J. Nicholls
Keyword(s):  
Ulcerative Colitis ◽  
Familial Adenomatous Polyposis ◽  
Restorative Proctocolectomy ◽  
Salvage Surgery ◽  
Rectal Mucosa ◽  
Neoplastic Transformation ◽  
Mucosal Inflammation ◽  
Adenomatous Polyposis ◽  
Elective Surgical Procedure ◽  
Causes Of Failure

Restorative proctocolectomy is now the elective surgical procedure of choice for most patients with ulcerative colitis or familial adenomatous polyposis. There are four causes of failure including acute and chronic sepsis, poor function for mechanical or functional reasons, mucosal inflammation (including pouchitis and retained rectal mucosa) and neoplastic transformation. Failure rates themselves range from 5% to nearly 20%. Followed over a period of 20 years, the failure rate can be summarised approximately as 5% at five years, 10% at ten years and 15% at 15 years.

Restorative Proctocolectomy in UK Servicemen

2001 ◽  
Vol 87 (3) ◽  
pp. 154-157
Author(s):  
R J Guy ◽  
S Blake ◽  
N P J Cripps
Keyword(s):  
Ulcerative Colitis ◽  
Familial Adenomatous Polyposis ◽  
Service Life ◽  
Restorative Proctocolectomy ◽  
Telephone Interview ◽  
Adenomatous Polyposis ◽  
Royal Navy ◽  
Pouch Function ◽  
Medical Category

AbstractObjectiveTo investigate the outcome of restorative proctocolectomy (RPC) in UK Servicemen and to determine the compatibility of this procedure with Service life.PatientsAll Servicemen undergoing restorative proctocolectomy for ulcerative colitis (UC) or familial adenomatous polyposis (FAP) up to December 31st 2000 were identified from Service records. Patients were reviewed by direct or telephone interview. Pouch function, military duties, medical category or reasons for discharge from the Service were recorded. Results: Fifteen Servicemen (6 Royal Navy, 6 Army, 3 RAF), mean age 30 years, underwent RPC for UC (14) or FAP (1) with a median follow-up of 74 months. Eight remain in their Service, five of whom carry out full duties and three restricted duties. Of the seven who have left the Services only one was medically unfit to continue due to poor pouch function whilst six left voluntarily to pursue active civilian careers. Fourteen patients have acceptable pouch function; one pouch has been excised for intractable pouchitis.ConclusionsRestorative proctocolectomy is compatible with Service life and most individuals are capable of fulfilling active unrestricted military duties.

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