Staging of the endorectal pull-through operation for ulcerative colitis. J Pediatr Surg 1983 Aug;18(4):453-6
Date
08/01/1983Pubmed ID
6620089DOI
10.1016/s0022-3468(83)80199-7Scopus ID
2-s2.0-0020558403 (requires institutional sign-in at Scopus site)Abstract
Of 43 patients undergoing operation for ulcerative colitis or polyposis, we found staging of the operation advisable in 7 instances. The initial operation consisted of subtotal colectomy with a Hartman's pouch and an ileostomy. The second procedure was a mucosal proctectomy, ileoanal anastomosis, and construction of a pelvic reservoir into the terminal ileum. The ileostomy was closed as a third procedure with approximately 6 months between each operation. Staging is recommended when emergency operation is required because of bleeding, perforation, or toxic megacolon; when significant technical problems are encountered with the mucosal stripping; or when the surgeon has had limited experience with the procedure. With the addition of staging to the surgeon's armamentarium, it is now possible to offer total colectomy with preservation of rectal continence to virtually all patients suffering from chronic ulcerative colitis.
Author List
Martin LW, Oldham KTAuthor
Keith Oldham MD Emeritus Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentChild
Colectomy
Colitis, Ulcerative
Female
Humans
Ileostomy
Male
