Fate of the retained rectum after subtotal colectomy for inflammatory disease of the colon

Of forty-nine consecutive patients who underwent subtotal colectomy for inflammatory disease of the colon, 73.5 per cent required subsequent combined abdominoperineal resection of the retained rectum, and only two patients had successful ileoproctostomy. For the patient whose rectum is substantially...

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Veröffentlicht in:	The American journal of surgery 1976-02, Vol.131 (2), p.201-203
Hauptverfasser:	Binder, Sheldon C., Miller, Harry H., Deterling, Ralph A.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Adult Aged Carcinoma - complications Child Chronic Disease Colectomy Colitis - complications Colitis - surgery Colitis, Ulcerative - complications Colitis, Ulcerative - surgery Colonic Neoplasms - complications Female Granulomatous Disease, Chronic - complications Granulomatous Disease, Chronic - surgery Humans Ileostomy Male Middle Aged Perineum - surgery Phagocyte Bactericidal Dysfunction - surgery Postoperative Complications Proctocolitis - complications Prognosis Rectum - surgery Recurrence Time Factors
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Beschreibung
Zusammenfassung:	Of forty-nine consecutive patients who underwent subtotal colectomy for inflammatory disease of the colon, 73.5 per cent required subsequent combined abdominoperineal resection of the retained rectum, and only two patients had successful ileoproctostomy. For the patient whose rectum is substantially diseased along with the rest of the colon, one-stage total proctocolectomy is the preferred operation.
ISSN:	0002-9610 1879-1883
DOI:	10.1016/0002-9610(76)90097-0