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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2.
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RitchieJ.K.Results of surgery for inflammatory bowel disease: a further survey of one hospital region.Br Med J1974; 1: 264–8
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9.
CohenZ., McLeodR.S., SternH., GrantD., NordgrenS.The pelvic pouch and ileoanal anastomosis procedure. Surgical technique and initial results.Am J Surg1985; 150: 601–7
10.
NasmythD.G., WilliamsN.S., JohnstonD.Comparison of the function of triplicated and duplicated pelvic ileal reservoirs after mucosal proctectomy and ileo-anal anastomosis for ulcerative colitis and adenomatous polyposis.Br J Surg1986; 73: 361–6
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