scholarly journals Potential problems of partial resection for colitis-associated cancer in a patient with ulcerative colitis: case report

2021 ◽  
Vol 2021 (3) ◽  
Author(s):  
Yuki Horio ◽  
Motoi Uchino ◽  
Takako Kihara ◽  
Toshihiro Bando ◽  
Ryuichi Kuwahara ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Endoscopic Resection ◽  
Ileal Pouch ◽  
Standard Procedure ◽  
Partial Resection ◽  
Total Proctocolectomy ◽  
Potential Problems ◽  
Partial Colectomy ◽  
A Site ◽  
Anal Site

Abstract Total proctocolectomy and an ileal pouch-anal anastomosis are recommended as the standard procedure for ulcerative colitis (UC)-colitis-associated cancer (CAC). However, several studies have reported the partial colectomy and endoscopic resection of UC-CAC in recent years. We present a surgical case of UC-CAC that was detected at a site that had not been diagnosed preoperatively, and we report potential problems of partial colectomy and endoscopic resection through this case. Considerations of synchronous and metachronous cancer/dysplasia are important before partial resection is planned for CAC in UC. Moreover, it should be noted that endoscopic resection at the anal site can be a risk factor for pouch surgery failure due to fibrosis after resection.

scholarly journals Total Proctocolectomy with Ileal Pouch Anal or Anal Canal Anastomosis for Ulcerative Colitis Patients with Anorectal Complications

2010 ◽  
Vol 43 (4) ◽  
pp. 479-485
Author(s):  
Kazutaka Koganei ◽  
Akira Sugita ◽  
Hideaki Kimura ◽  
Kyoko Yamada ◽  
Ryo Futatsuki ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Anal Canal ◽  
Ileal Pouch ◽  
Total Proctocolectomy

scholarly journals Outcome of total proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis

2012 ◽  
Vol 83 (3) ◽  
pp. 135 ◽  
Author(s):  
Wontae Cho ◽  
Yong Beom Cho ◽  
Jin Yong Kim ◽  
Dong Kyung Chang ◽  
Young-Ho Kim ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Ileal Pouch ◽  
Ileal Pouch Anal Anastomosis ◽  
Total Proctocolectomy ◽  
Anal Anastomosis

Comparison of Functional Outcomes of Patients Who Underwent Hand-Sewn or Stapled Ileal Pouch-Anal Anastomosis for Ulcerative Colitis

2015 ◽  
Vol 100 (7-8) ◽  
pp. 1169-1176 ◽  
Author(s):  
Hiroaki Ishii ◽  
Kazushige Kawai ◽  
Keisuke Hata ◽  
Yasutaka Shuno ◽  
Takeshi Nishikawa ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Postoperative Complications ◽  
Functional Outcomes ◽  
Ileal Pouch ◽  
Short Form ◽  
Ileal Pouch Anal Anastomosis ◽  
Total Proctocolectomy ◽  
Sf 36 ◽  
Anal Anastomosis

Total proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the standard surgical treatment for patients with ulcerative colitis (UC). The purpose of this study was to investigate the long-term functional outcomes and quality of life (QOL) associated with hand-sewn and stapled IPAA. Ninety-one patients with UC had undergone IPAA using hand-sewn anastomosis with mucosectomy (32 patients) or stapled anastomosis (59 patients) from January 1988 to May 2010. Patients were evaluated according to patient characteristics, postoperative complications, functional outcomes and QOL. The QOL of patients were evaluated using the Medical Outcomes Study Short Form 36 (SF-36) and the Inflammatory Bowel Disease Questionnaire (IBDQ). Numbers of patients with colorectal cancer or dysplasia were significantly greater in the hand-sewn IPAA group (P < 0.01). These patients had longer disease durations and were older (both P < 0.01). There was no difference in the incidence of complications between the groups, except for a greater incidence of postoperative anal fistula in the stapled group (P = 0.03). In the early postsurgery period, both the frequency of bowel movements and the rate of soiling were significantly higher in the hand-sewn group, but in a later period, there was no difference in these events >3 years after surgery. The SF-36 and IBDQ results were similar in the two groups, indicating that hand-sewn and stapled IPAA result in similar QOL in the late postoperative period. Postoperative complications, functional outcomes, and long-term QOL were similar in patients who had received hand-sewn or stapled IPAA.

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