Surgical treatment of ulcerative colitis, report of 16 cases
- VernacularTitle:溃疡性结肠炎的外科治疗16例分析
- Author:
Yuan WANG
;
Xikui CHENG
;
Jun LU
;
Zhaohui ZHONG
;
Xun HUANG
- Publication Type:Journal Article
- Keywords:
Colitis, ulcerative;
Surgical procedures, operative;
Treatment outcome
- From:
Chinese Journal of General Surgery
1993;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore surgical treatment of ulcerative colitis (UC). Methods Clinical data of 16 patients of UC undergoing surgery were retrospectively analyzed. Results In this series,16 out of 78 UC patients undergoing surgery included failing to control symptom by conservative therapy in 10, bowel obstruction in 3,suspected malignance in 3. Eight cases underwent total proctocolectomy and ileostomy,4 with total proctocolectomy and ileal pouch-anal anastomosis (IPAA),2 with total colectomy and ileorectal anastomosis,2 with partial colectomy. Conclusions The main indications for surgery in UC patients were failure of medical treatment, complicated bowel obstruction and suspected malignance. Total proctocolectomy and ileostomy is a cure for UC, total proctocolectomy and ileal pouch-anal anastomosis benifits defecation control but suffering from high incidence of stomal ulcer.
