Proctocolectomy without ileostomy for ulcerative colitis.

摘要: 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 rectum are excised remaining inflamed is stripped from rectal stump down to dentate line anal canal. A pouch fashioned triplicated loop terminal ileum. This drawn through denuded an anastomosis created, via per-anal approach, between ileum just distal mid-anal temporary ileostomy made. Out eight patients so treated, five were available assessment, four them highly satisfied with result improved health function. three awaiting closure their ileostomies.