Analysis of Surgical Treatment for Ulcerative Colitis in 36 Cases
- VernacularTitle:溃疡性结肠炎36例手术治疗分析
- Author:
Minhao YU
1
;
Youduo PENG
;
Zhengqian BIAN
;
Zhengshi WANG
;
Guangyao YE
;
LUOYang
;
ZHONGMing
Author Information
1. 上海交通大学医学院附属仁济医院胃肠外科
- Keywords:
Ulcerative colitis;
Surgery;
Therapy
- From:
Chinese Journal of Clinical Medicine
2014;(6):659-660
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the experience in surgical treatment for ulcerative colitis(UC).Methods:The clinical data of 36 patients with UC who underwent surgery in Renji Hospital,Shanghai Jiao Tong University School of Medicine from Jan 2008 to Jan 2013 were retrospectively analyzed.The surgical methods and prognosis were evaluated.Results:There were 23 ca-ses of selective operation which was total colectomy with ileal pouch-anal anastomosis(IPAA)in the first stage.Among the 23 cases,4 cases complicated with toxic megacolon were treated with intestinal obstruction catheter by endoscopy,and then under-went selective IPAA.There were 13 cases of emergency operation which was total colectomy with ileostomy in the first stage and IPAA in the second stage.Open surgery was done in 1 patient with perforation of digestive tract,1 patient with toxic mega-colon and 1 patient with history of abdominal operation,and laparoscopic surgery was done in the other 33 patients.None of the 36 cases had any severe perioperative complications.Conclusions:Indication of UC operation should be strictly controlled while safe operation method should be reasonably chosen.IPAA is a safe and effective method for selective operation and emergency surgery of UC.
