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. 1978 Jul 8;2(6130):85–88. doi: 10.1136/bmj.2.6130.85

Proctocolectomy without ileostomy for ulcerative colitis.

A G Parks, R J Nicholls
PMCID: PMC1605901  PMID: 667572

Abstract

An operation has been developed that permits total removal of all disease-prone mucosa in ulcerative colitis but avoids the need for a permanent ileostomy. The colon and upper half of the rectum are excised and the remaining inflamed mucosa is stripped from the rectal stump down to the dentate line of the anal canal. A pouch is fashioned from a triplicated loop of terminal ileum. This is drawn down through the denuded rectum and an anastomosis created, via the per-anal approach, between the ileum just distal to the pouch and the mid-anal canal. A temporary ileostomy is made. Out of eight patients so treated, five were available for assessment, and four of them were highly satisfied with the result in improved health and function. The remaining three were awaiting closure of their ileostomies.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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