CARCINOMA IN AN ANO‐RECTAL STUMP YEARS AFTER A TOTAL COLECTOMY FOR ULCERATIVE COLITIS

1963 ◽  
Vol 2 (10) ◽  
pp. 407-408 ◽  
Author(s):  
P. K. Steedman
Keyword(s):  
Ulcerative Colitis ◽  
Total Colectomy ◽  
Rectal Stump

Systematic review of rectal stump management during and after emergency total colectomy for acute severe ulcerative colitis

2019 ◽  
Vol 89 (12) ◽  
pp. 1556-1560 ◽  
Author(s):  
Sergei Bedrikovetski ◽  
Nagendra Dudi‐Venkata ◽  
Hidde M. Kroon ◽  
Jianliang Liu ◽  
Jane M. Andrews ◽  
...  
Keyword(s):  
Systematic Review ◽  
Ulcerative Colitis ◽  
Total Colectomy ◽  
Rectal Stump ◽  
Severe Ulcerative Colitis

scholarly journals High incidence of postoperative silent venous thromboembolism in ulcerative colitis: a retrospective observational study

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Norimitsu Shimada ◽  
Hiroki Ohge ◽  
Hiroki Kitagawa ◽  
Kosuke Yoshimura ◽  
Norifumi Shigemoto ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Venous Thromboembolism ◽  
Total Colectomy ◽  
Univariate Analysis ◽  
Operation Time ◽  
High Serum ◽  
Total Proctocolectomy ◽  
Colon And Rectum ◽  
Predictive Risk ◽  
D Dimer

Abstract Background The incidence of postoperative venous thromboembolism (VTE) is high in patients with inflammatory bowel disease. We aimed to analyze the incidence and predictive factors of postoperative VTE in patients with ulcerative colitis. Methods Patients with ulcerative colitis who underwent colon and rectum surgery during 2010–2018 were included. We retrospectively investigated the incidence of postoperative VTE. Results A total of 140 colorectal surgery cases were included. Postoperative VTE was detected in 24 (17.1 %). Portal–mesenteric venous thrombosis was the most frequent VTE (18 cases; 75 %); of these, 15 patients underwent total proctocolectomy (TPC) with ileal pouch–anal anastomosis (IPAA). In univariate analysis, VTE occurred more frequently in patients with neoplasia than in those refractory to medications (27.2 % vs. 12.5 %; p < 0.031). TPC with IPAA was more often associated with VTE development (28 %) than total colectomy (10.5 %) or proctectomy (5.9 %). On logistic regression analysis, TPC with IPAA, total colectomy, long operation time (> 4 h), and high serum D-dimer level (> 5.3 µg/mL) on the day following surgery were identified as predictive risk factors. Conclusions Postoperative VTE occurred frequently and asymptomatically, especially after TPC with IPAA. Serum D-dimer level on the day after surgery may be a useful predictor of VTE.

scholarly journals Total Colectomy and Mucosal Proctectomy with Preservation of Continence in Ulcerative Colitis

1977 ◽  
Vol 186 (4) ◽  
pp. 477-480 ◽  
Author(s):  
LESTER W. MARTIN ◽  
CLAUDE LECOULTRE ◽  
WILLIAM K. SCHUBERT
Keyword(s):  
Ulcerative Colitis ◽  
Total Colectomy ◽  
Mucosal Proctectomy

scholarly journals A Case of Ileal Adenocarcinoma after Total Colectomy for Ulcerative Colitis

2018 ◽  
Vol 79 (10) ◽  
pp. 2086-2090
Author(s):  
Katsuya MORIMATSU ◽  
Naoki YAMANAKA ◽  
Masataka HAYASHI ◽  
Nobuhisa KAMEOKA ◽  
Kazunori YOKOHATA
Keyword(s):  
Ulcerative Colitis ◽  
Total Colectomy

scholarly journals Ulcerative colitis complicated with multiple subcutaneous abscesses and gonarthritis after total colectomy.

1985 ◽  
Vol 38 (4) ◽  
pp. 376-379
Author(s):  
Y. Yamazaki ◽  
A. Sugita ◽  
M. Kawamoto ◽  
H. Suwa ◽  
T. Fukushima ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Total Colectomy

Primary Adenocarcinoma of the Ileostomy Following Total Colectomy for Ulcerative Colitis

2003 ◽  
Vol 25 (5) ◽  
pp. 266-269
Author(s):  
Beatrice E. Kern ◽  
Christoph Ackermann ◽  
Ralph Peterli ◽  
Marc-Olivier Guenin ◽  
Peter Tondelli
Keyword(s):  
Ulcerative Colitis ◽  
Total Colectomy ◽  
Primary Adenocarcinoma

Chyle leak following total colectomy for ulcerative colitis: a case report and review of the literature

2021 ◽  
Vol 103 (7) ◽  
pp. e231-e233
Author(s):  
CF Brewer ◽  
Y Al-Abed
Keyword(s):  
Ulcerative Colitis ◽  
Total Colectomy ◽  
Rare Complication ◽  
Elemental Diet ◽  
Lymphatic Drainage ◽  
Effective Management ◽  
Review Of The Literature ◽  
Chyle Leak ◽  
Surgical Options ◽  
Inflammatory Bowel

Chyle leak is a rare complication in colorectal surgery. It occurs due to disruption of the lymphatic drainage network in the abdomen or retroperitoneum. We describe the first reported case of chyle leak following total colectomy for inflammatory bowel disease. Our patient underwent total colectomy for severe ulcerative colitis not responsive to medical treatment. Four days postoperatively, a milky fluid was noted in the drainage bag. Analysis of the fluid confirmed chyle. The patient remained well and was successfully managed conservatively with a fat-free elemental diet and was discharged from hospital on day 12 postoperatively. A review of the literature suggests that conservative management with dietary modification is a common and effective management strategy; however, medical and surgical options exist for refractory cases.

scholarly journals Rectal stump management and complication rate following sub-total colectomy for inflammatory bowel disease

2018 ◽  
Vol 55 ◽  
pp. S45
Author(s):  
S. Lawday ◽  
M. Leaning ◽  
O. Flannery ◽  
S. Summers ◽  
S. Antoniou ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Complication Rate ◽  
Bowel Disease ◽  
Total Colectomy ◽  
Rectal Stump ◽  
Inflammatory Bowel

scholarly journals The Handling of the Rectal Stump Does Not Affect Severe Morbidity After Subtotal Colectomy For Ulcerative Colitis: A Retrospective Cohort Study

2019 ◽  
Vol 109 (3) ◽  
pp. 238-243
Author(s):  
M. Lissel ◽  
S. Omidy ◽  
P. Myrelid ◽  
M. Block ◽  
E. Angenete
Keyword(s):  
Risk Factors ◽  
Ulcerative Colitis ◽  
Body Mass Index ◽  
Emergency Surgery ◽  
Retrospective Cohort ◽  
Subtotal Colectomy ◽  
Rectal Stump ◽  
Aminosalicylic Acid ◽  
Severe Morbidity ◽  
Preoperative Medication

Background and Aims: Colectomy due to ulcerative colitis is associated with complications. One severe complication is the risk for blow-out of the remaining rectal remnant. The aim of this study was to compare the frequency and severity of complications in patients with the rectal remnant left subcutaneously versus patients with the rectal remnant left intra-abdominally. A secondary aim was to identify risk factors for complications. Materials and Methods: Consecutive patients at two tertiary centers in Sweden were retrospectively reviewed regarding surgical procedures; complications classified according to Clavien–Dindo; and possible risk factors for complications such as preoperative medication, emergency surgery, and body mass index. Results: 307 patients were identified. Minor complications were more common than previously reported (85%–89%). Severe surgical complications were not related to the handling of the rectal remnant. Leaving the rectal remnant subcutaneously was associated with local wound problems. Risk factors for severe complications were emergency surgery and preoperative medication with 5-aminosalicylic acid. Conclusion: Minor complications after colectomy for ulcerative colitis are very common and need to be addressed. Leaving the rectal stump intra-abdominally seems safe and may be advantageous to reduce local wound morbidity.

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