The fate of the rectal stump after subtotal colectomy for ulcerative colitis
In a retrospective review of 311 patients having subtotal colectomy for ulcerative colitis, information on the fate of the rectal stump was obtained in 288. Proctectomy was performed in 159 patients (55 percent); for persistent proctitis in 118 (41 percent), cancer prophylaxis in 37 (13 percent), an...
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| Veröffentlicht in: | Diseases of the colon & rectum 1985-06, Vol.28 (6), p.394-396 |
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| container_title | Diseases of the colon & rectum |
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| creator | OAKLEY, J. R LAVERY, I. C FAZIO, V. W JAGELMAN, D. G WEAKLEY, F. L EASLEY, K |
| description | In a retrospective review of 311 patients having subtotal colectomy for ulcerative colitis, information on the fate of the rectal stump was obtained in 288. Proctectomy was performed in 159 patients (55 percent); for persistent proctitis in 118 (41 percent), cancer prophylaxis in 37 (13 percent), and cancer in four (1.4 percent). One hundred twenty-two patients (42 percent) had ileorectal anastomoses. Eighty-four of these (69 percent) retained a functioning ileorectal anastomosis at the time of follow-up or death, one to 22 years later, and an additional six patients (5 percent) had a satisfactory ileorectal anastomosis for five to 14 years before proctectomy. Cancer developed in the rectal stump in nine patients (3.1 percent), underscoring the need for either proctectomy (total or mucosal) or long-term surveillance of the retained rectum. However, subtotal colectomy, by permitting ileorectal anastomosis or other sphincter-preserving surgery at a later date, does have a definite place in many patients requiring surgery for ulcerative colitis. |
| doi_str_mv | 10.1007/bf02560219 |
| format | Article |
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Cancer developed in the rectal stump in nine patients (3.1 percent), underscoring the need for either proctectomy (total or mucosal) or long-term surveillance of the retained rectum. However, subtotal colectomy, by permitting ileorectal anastomosis or other sphincter-preserving surgery at a later date, does have a definite place in many patients requiring surgery for ulcerative colitis.</description><identifier>ISSN: 0012-3706</identifier><identifier>EISSN: 1530-0358</identifier><identifier>DOI: 10.1007/bf02560219</identifier><identifier>PMID: 4006633</identifier><identifier>CODEN: DICRAG</identifier><language>eng</language><publisher>Secaucus, NJ: Springer</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Child ; Colectomy - methods ; Colitis, Ulcerative - surgery ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Ileostomy ; Male ; Medical sciences ; Middle Aged ; Other diseases. 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Eighty-four of these (69 percent) retained a functioning ileorectal anastomosis at the time of follow-up or death, one to 22 years later, and an additional six patients (5 percent) had a satisfactory ileorectal anastomosis for five to 14 years before proctectomy. Cancer developed in the rectal stump in nine patients (3.1 percent), underscoring the need for either proctectomy (total or mucosal) or long-term surveillance of the retained rectum. However, subtotal colectomy, by permitting ileorectal anastomosis or other sphincter-preserving surgery at a later date, does have a definite place in many patients requiring surgery for ulcerative colitis.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Colectomy - methods</subject><subject>Colitis, Ulcerative - surgery</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Ileostomy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Other diseases. Semiology</subject><subject>Rectal Neoplasms - etiology</subject><subject>Rectum - surgery</subject><subject>Retrospective Studies</subject><subject>Risk</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Anus</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>OAKLEY, J. R</creatorcontrib><creatorcontrib>LAVERY, I. C</creatorcontrib><creatorcontrib>FAZIO, V. W</creatorcontrib><creatorcontrib>JAGELMAN, D. G</creatorcontrib><creatorcontrib>WEAKLEY, F. L</creatorcontrib><creatorcontrib>EASLEY, K</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diseases of the colon & rectum</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>OAKLEY, J. R</au><au>LAVERY, I. C</au><au>FAZIO, V. W</au><au>JAGELMAN, D. G</au><au>WEAKLEY, F. L</au><au>EASLEY, K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The fate of the rectal stump after subtotal colectomy for ulcerative colitis</atitle><jtitle>Diseases of the colon & rectum</jtitle><addtitle>Dis Colon Rectum</addtitle><date>1985-06</date><risdate>1985</risdate><volume>28</volume><issue>6</issue><spage>394</spage><epage>396</epage><pages>394-396</pages><issn>0012-3706</issn><eissn>1530-0358</eissn><coden>DICRAG</coden><abstract>In a retrospective review of 311 patients having subtotal colectomy for ulcerative colitis, information on the fate of the rectal stump was obtained in 288. Proctectomy was performed in 159 patients (55 percent); for persistent proctitis in 118 (41 percent), cancer prophylaxis in 37 (13 percent), and cancer in four (1.4 percent). One hundred twenty-two patients (42 percent) had ileorectal anastomoses. Eighty-four of these (69 percent) retained a functioning ileorectal anastomosis at the time of follow-up or death, one to 22 years later, and an additional six patients (5 percent) had a satisfactory ileorectal anastomosis for five to 14 years before proctectomy. Cancer developed in the rectal stump in nine patients (3.1 percent), underscoring the need for either proctectomy (total or mucosal) or long-term surveillance of the retained rectum. However, subtotal colectomy, by permitting ileorectal anastomosis or other sphincter-preserving surgery at a later date, does have a definite place in many patients requiring surgery for ulcerative colitis.</abstract><cop>Secaucus, NJ</cop><pub>Springer</pub><pmid>4006633</pmid><doi>10.1007/bf02560219</doi><tpages>3</tpages></addata></record> |
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| ispartof | Diseases of the colon & rectum, 1985-06, Vol.28 (6), p.394-396 |
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| source | MEDLINE; SpringerNature Journals; Journals@Ovid Complete |
| subjects | Adolescent Adult Aged Biological and medical sciences Child Colectomy - methods Colitis, Ulcerative - surgery Female Gastroenterology. Liver. Pancreas. Abdomen Humans Ileostomy Male Medical sciences Middle Aged Other diseases. Semiology Rectal Neoplasms - etiology Rectum - surgery Retrospective Studies Risk Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Time Factors |
| title | The fate of the rectal stump after subtotal colectomy for ulcerative colitis |
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