1989•Journal of the Royal Society of MedicineOpen access

Proctocolectomy and Ileostomy for Ulcerative Colitis: The Longer Term Story

R K S Phillips, J K Ritchie, P R Hawley

Abstract

Elective surgery for ulcerative colitis usually involves the removal of the entire large bowel with either a conventional ileostomy or the formation of an ileoanal pouch anastomosis. Seventy patients undergoing a one stage elective total proctocolectomy and ileostomy between 1976 (the first year an ileoanal pouch was carried out in this hospital) and 1986 have been studied. We have confirmed that proctocolectomy and ileostomy for ulcerative colitis is not the trouble free operation many presume it to be when considering the alternative of an ileoanal pouch.

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Key concepts: Ulcerative colitis, Proctocolectomy, Ileostomy, Medicine, Pouch, Anastomosis, Inflammatory bowel disease, Surgery