Subtotal colectomy for ulcerative colitis

1991 ◽  
Vol 34 (11) ◽  
pp. 1005-1009 ◽  
Author(s):  
Frank M. Carter ◽  
Robin S. McLeod ◽  
Zane Cohen
2009 ◽  
Vol 52 (2) ◽  
pp. 187-192 ◽  
Author(s):  
Stefan D. Holubar ◽  
David W. Larson ◽  
Eric J. Dozois ◽  
Jirawat Pattana-arun ◽  
John H. Pemberton ◽  
...  

2020 ◽  
Vol 158 (6) ◽  
pp. S-677
Author(s):  
Haluk T. Kani ◽  
Eren Esen ◽  
Shannon Chang ◽  
David Hudesman ◽  
Feza H. Remzi ◽  
...  

2018 ◽  
Vol 154 (6) ◽  
pp. S-1335
Author(s):  
Christopher R. LaChapelle ◽  
Stewart Whitney ◽  
Allison Salk ◽  
Songhon Hwang ◽  
Alexander Greenstein

1987 ◽  
Vol 80 (8) ◽  
pp. 492-494 ◽  
Author(s):  
J B Anderson ◽  
G M Turner ◽  
R C N Williamson

Four patients underwent emergency colectomy during pregnancy or the puerperium for complications of ulcerative proctocolitis. Three had inactive colitis at conception, while in the fourth the disease started during pregnancy. Three patients required subtotal colectomy and ileostomy for toxic dilatation during the third trimester or within 5 days of delivery, and the fourth underwent proctocolectomy postpartum for intractable colitis. There were no maternal deaths but 2 of 4 infants died. One child weighing 1.4 kg survived vaginal delivery during the 33rd week of pregnancy, 2 weeks after his mother had undergone emergency colectomy.


2019 ◽  
Vol 109 (3) ◽  
pp. 238-243
Author(s):  
M. Lissel ◽  
S. Omidy ◽  
P. Myrelid ◽  
M. Block ◽  
E. Angenete

Background and Aims: Colectomy due to ulcerative colitis is associated with complications. One severe complication is the risk for blow-out of the remaining rectal remnant. The aim of this study was to compare the frequency and severity of complications in patients with the rectal remnant left subcutaneously versus patients with the rectal remnant left intra-abdominally. A secondary aim was to identify risk factors for complications. Materials and Methods: Consecutive patients at two tertiary centers in Sweden were retrospectively reviewed regarding surgical procedures; complications classified according to Clavien–Dindo; and possible risk factors for complications such as preoperative medication, emergency surgery, and body mass index. Results: 307 patients were identified. Minor complications were more common than previously reported (85%–89%). Severe surgical complications were not related to the handling of the rectal remnant. Leaving the rectal remnant subcutaneously was associated with local wound problems. Risk factors for severe complications were emergency surgery and preoperative medication with 5-aminosalicylic acid. Conclusion: Minor complications after colectomy for ulcerative colitis are very common and need to be addressed. Leaving the rectal stump intra-abdominally seems safe and may be advantageous to reduce local wound morbidity.


2010 ◽  
Vol 37 (8) ◽  
pp. 714-717 ◽  
Author(s):  
Asuka KITAYAMA ◽  
Noriyuki MISAGO ◽  
Takeshi OKAWA ◽  
Ryuichi IWAKIRI ◽  
Yutaka NARISAWA

Surgery Today ◽  
2013 ◽  
Vol 44 (12) ◽  
pp. 2382-2384 ◽  
Author(s):  
Kota Arima ◽  
Masayuki Watanabe ◽  
Masaaki Iwatsuki ◽  
Satoshi Ida ◽  
Takatsugu Ishimoto ◽  
...  

2016 ◽  
Vol 10 (1) ◽  
pp. 162-165 ◽  
Author(s):  
Satohiro Matsumoto ◽  
Hirosato Mashima

Diversion colitis is a benign inflammatory process that occurs in any part of the large bowel excluded from the fecal stream by a diverting colostomy. While most of the patients with diversion colitis usually are asymptomatic, a minority has abdominal pain and rectal discharge of blood or mucus. A 65-year-old Japanese man was diagnosed as having diversion colitis with ulcerative colitis at 4 months after subtotal colectomy. Corticosteroid and mesalazine enemas were started nonsynchronously. A proctoscopy after 2 months showed no response. Prednisolone injections were started at 1.0 mg/kg daily, but the mucosal inflammation still failed to improve. A combined mesalazine 1 g plus prednisolone sodium phosphate 20 mg enema was started once daily. The rectal bleeding and endoscopic findings improved. Finally proctectomy and ileal pouch-anal anastomosis were successfully performed. A combined mesalazine plus corticosteroid enema may be effective in patients with diversion colitis associated with ulcerative colitis.


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